TATIANA BAKAEVA (NPI# 1275948572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275948572 |
| Entity Type | Individual |
| Full Name | TATIANA BAKAEVA |
| Credential | M.D., PH.D. |
| Practice Address |
1 Hoppin Street Corowest Suite 202 Providence RI 02903 |
| Mailing Address |
117 Ellenfield St Ste 101 Providence RI 02905-4541 |
| Practice Telephone | 4014446551 |
| Practice Fax Number | 4014446587 |
| Mailing Telephone | 4014446779 |
| Mailing Fax Number | 4014446912 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD16734 | RI | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
272919 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1 HOPPIN STREET COROWEST SUITE 202 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497727101 | Karen Daigle | Pediatrics | 1 Hoppin Street, Coro West Suite304a, Providence, RI 02903 | 2006-02-06 |
| 1467090456 | Nicholas Tarantino | Psychologist | 1 Hoppin Street, Coro West, Suite 204, Providence, RI 02903 | 2019-12-20 |
| 1255981247 | Preeti Sandhu | Psychologist | 1 Hoppin Street, Coro West, Suite 204, Providence, RI 02903 | 2019-09-12 |
| 1710478854 | Abbie Paley | Nurse Practitioner | 1 Hoppin Street, Corowest Suite 200, Providence, RI 02903 | 2018-05-24 |
| 1538401799 | Jamie Lea Schaefer | Ophthalmology | 1 Hoppin Street, Suite 202, Providence, RI 02903 | 2013-03-26 |
| 1427296300 | Abigail Alcock Donaldson | Pediatrics | 1 Hoppin Street, Suite 3055, Providence, RI 02903 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215597000 | Liqi Shu | Psychiatry & Neurology | Rhode Island Hospital, 593 Eddy St, Providence, RI 02903-4923 | 2019-06-14 |
| 1396703294 | Israel Yaar | Psychiatry & Neurology | Davis Park (127a), Va Medical Center, Providence, RI 02908 | 2006-05-02 |
| 1720045438 | Stephen T Mernoff | Psychiatry & Neurology | 877 Chalkstone Ave, Providence, RI 02908-4728 | 2006-04-27 |
| 1184609398 | Michael A Friedman | Psychiatry & Neurology | 146 W River St, Suite 11b, Providence, RI 02904-2609 | 2005-12-09 |
| 1518580703 | Sanaya Daruvala | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-21 |
| 1699398933 | Macdonell Stanford | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-21 |
| 1376101162 | Daniel Mandel | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2019-06-05 |
| 1952968125 | Cody Sanders | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-23 |
| 1407413578 | Maheen Rana | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2019-05-23 |
| 1679069900 | Natalie Erlich-malona | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2018-07-10 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
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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.