STEPHANIE BRODEUR (NPI# 1205242823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205242823 |
| Entity Type | Individual |
| Full Name | STEPHANIE BRODEUR |
| Practice Address |
70 Mohawk St Cumberland RI 02864-5911 |
| Practice Telephone | 4014770622 |
| Mailing Telephone | 4014770622 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2015-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
70 MOHAWK ST |
| City | CUMBERLAND |
| State | RI |
| Zip Code | 02864-5911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855335 | Kalee Kareemo | Physical Therapist | 1764 Mendon Rd., Suite 6, Cumberland, RI 02864 | 2020-09-15 |
| 1861930489 | Emily Elizabeth Sullivan | Registered Nurse | 106 Nate Whipple Hwy Ste 101, Cumberland, RI 02864 | 2017-02-02 |
| 1649613399 | Nathan Charpentier | Pharmacist | 1623 Mendon Rd, Cumberland, RI 02864 | 2013-04-12 |
| 1548503840 | Constantine Pagonis | Internal Medicine | 350 West Wrentham Road, Cumberland, RI 02864 | 2013-04-04 |
| 1124366778 | Tina Deroy | Physical Therapist | 100 Chambers Street, Cumberland, RI 02864 | 2013-01-16 |
| 1437432689 | Concentra Primary Care Pa | Clinic/Center | 2140 Mendon Road, Suite 101a, Cumberland, RI 02864 | 2011-09-23 |
| 1245409978 | Kelly Ann Watier | Massage Therapist | 2180 Mendon Rd, Suite #32, Cumberland, RI 02864 | 2008-02-27 |
| 1003026725 | James Richard Ratcliffe | Dentist | 10 Chambers Street, Cumberland, RI 02864 | 2007-05-23 |
| 1184740706 | Paulo Jorge Da Rosa | Dentist | 20 Mill St., Suite #3, Cumberland, RI 02864 | 2007-03-22 |
| 1942325980 | Angeles V Felix | Dentist | 490 High St, Cumberland, RI 02864 | 2007-03-20 |
| Find all providers in zip 02864 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769106 | Charlene Gaughan | Case Manager/Care Coordinator | 509 Rose Hill Ave, Cumberland, MD 21502-3333 | 2020-08-06 |
| 1801002977 | Dinah B Day | Case Manager/Care Coordinator | 4413 Cloverlick Rd, Cumberland, KY 40823 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720612039 | Jade Marie Jordan | Case Manager/Care Coordinator | 93 Reservoir Rd, Middletown, RI 02842-5832 | 2020-02-25 |
| 1073091153 | Aileen James Archambault | Case Manager/Care Coordinator | 220 Howell St, Providence, RI 02906-1614 | 2018-08-01 |
| 1487169066 | Joshua Quinton Rathbun | Case Manager/Care Coordinator | 275 W Natick Rd, Warwick, RI 02886-1079 | 2017-12-05 |
| 1619496130 | Monica Arnold | Case Manager/Care Coordinator | 3345 Post Rd, Warwick, RI 02886-7146 | 2017-09-15 |
| 1740600667 | Jennifer Carrier | Case Manager/Care Coordinator | 36 Maureen Dr, Smithfield, RI 02917-2336 | 2014-04-17 |
| 1255774576 | Church of The Sacred Heart | Case Manager/Care Coordinator | 118 Taunton Ave, East Providence, RI 02914-4550 | 2013-04-17 |
| 1508102179 | Christien Damiani | Case Manager/Care Coordinator | 887 Willett Ave, Riverside, RI 02915-2760 | 2012-12-29 |
| 1194073742 | Keelyn A Spear | Case Manager/Care Coordinator | 56 Lepes Rd, Tiverton, RI 02878-1302 | 2012-08-29 |
| 1205196433 | Melysa Sue Faria | Case Manager/Care Coordinator | 1264 Chopmist Hill Rd, Scituate, RI 02857-1559 | 2012-05-22 |
| 1407130990 | Jean Payne | Case Manager/Care Coordinator | 13 Redland Ave, Rumford, RI 02916-1214 | 2011-10-04 |
| Find all providers with the same taxonomy | ||||
| City | CUMBERLAND |
| Zip Code | 02864 |
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| 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.