REBBECCA SHEA (NPI# 1164877486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164877486 |
| Entity Type | Individual |
| Full Name | REBBECCA SHEA |
| Credential | PA-C |
| Practice Address |
102 Valley Rd Middletown RI 02842-5237 |
| Practice Telephone | 4012391800 |
| Practice Fax Number | 4012391801 |
| Mailing Telephone | 4012391800 |
| Mailing Fax Number | 4012391801 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00831 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1524 Atwood Ave, Suite 321, Johnston, RI 029193228 | 4012391800 | 4012391801 |
| 67 William S Canning Blvd, Tiverton, RI 028783003 | 4012391800 | 4012391801 |
| 1525 Wampanoag Trl Ste 203, Riverside, RI 029151038 | 4012391800 | 4012391801 |
| 618 Toll Gate Rd, Warwick, RI 028862717 | 4012391800 | 4012391801 |
| 851 Main St, Warren, RI 028854402 | 4012391800 | 4012391801 |
| Street Address |
102 VALLEY RD |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366547358 | Susan M Bordonaro | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2006-09-14 |
| 1730744483 | Pamela Gadbaw | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2019-05-08 |
| 1083173421 | Amanda N Fredette | Physician Assistant | 102 Valley Rd, Middletown, RI 02842-5237 | 2019-03-15 |
| 1902363492 | Jennifer Ann Fisher | Physician Assistant | 102 Valley Rd, Middletown, RI 02842-5237 | 2019-02-21 |
| 1649746421 | April Bell Brosnan | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2018-10-18 |
| 1801302765 | Alyssa Coogan | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842 | 2017-12-14 |
| 1699204784 | Victoria Lee Comeau | Dermatology | 102 Valley Rd, Middletown, RI 02842-5237 | 2017-06-12 |
| 1356753974 | Sarah Elizabeth Belden | Dermatology | 102 Valley Rd, Middletown, RI 02842 | 2014-06-02 |
| 1457783904 | Meghan Grafton King | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2013-08-07 |
| 1720328107 | Matthew Clifford Willett | Dermatology | 102 Valley Rd, Middletown, RI 02842 | 2013-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598160699 | Kelly Jones | Physician Assistant | 5809 W County Road 950 N, Middletown, IN 47356-9458 | 2014-10-31 |
| 1306062310 | Brittany Coffman | Physician Assistant | 3376 Sumantown Rd, Middletown, MD 21769-6409 | 2007-04-18 |
| 1518090646 | Sharon Lynne Fritz | Physician Assistant | 1055 Summitt Dr, Middletown, OH 45042-3464 | 2007-03-14 |
| 1538173661 | Annette C. Musano | Physician Assistant | 453 Rt 211 E, Middletown, NY 10940-2066 | 2006-07-27 |
| 1053365957 | Bradley P Bruns | Physician Assistant | 2408 Hill Ave, Middletown, OH 45044-4732 | 2006-05-22 |
| 1790788859 | Eric B Neadel | Physician Assistant | 28 Crescent St, Middletown, CT 06457-3654 | 2005-05-23 |
| 1558989004 | Anisha Vadehra | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-10 |
| 1598389314 | Carly M. Jobson | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-06-08 |
| 1841834959 | Ariel D. Chasipanta | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-10-31 |
| 1295397222 | Carley Brooke Neinas | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2019-06-29 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
Please comment or provide details below to improve the information on REBBECCA SHEA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.