ANNETTE L KELLEHER (NPI# 1316178676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316178676 |
| Entity Type | Individual |
| Full Name | ANNETTE L KELLEHER |
| Credential | NP |
| Practice Address |
50 Maude St Providence RI 02908-4325 |
| Mailing Address |
9201 E Mountain View Rd Ste 220 Scottsdale AZ 85258-5172 |
| Practice Telephone | 4014566616 |
| Practice Fax Number | 4014566780 |
| Mailing Telephone | 8552466287 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
NPP37519 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50 MAUDE ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901248 | Daniel N Valicenti | Internal Medicine | 50 Maude St, 4th Floor, Providence, RI 02908-4325 | 2005-09-02 |
| 1871063891 | Integrated Wound Care Rhode Island Pllc | General Practice | 50 Maude St, Providence, RI 02908-4325 | 2018-12-03 |
| 1811402100 | Prospect Chartercare Home Health and Hospice, LLC | Registered Nurse | 50 Maude St, Providence, RI 02908-4325 | 2017-12-07 |
| 1871947093 | Samantha Mossman | Dietitian, Registered | 50 Maude St, Roger Willaims Oncology Center, Providence, RI 02908-4325 | 2016-04-14 |
| 1841679503 | Rui Cheng | Dermatology | 50 Maude St, Providence, RI 02908-4325 | 2015-05-27 |
| 1437544111 | Prospect Chartercare Physicians LLC | Clinic/Center | 50 Maude St, Providence, RI 02908-4325 | 2015-03-31 |
| 1083012173 | New University Medical Group LLC | Internal Medicine | 50 Maude St, Providence, RI 02908-4325 | 2014-12-05 |
| 1912322918 | Prospect Chartercare Rwmc, LLC | Home Health | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
| 1457776452 | Prospect Chartercare Elmhurst, LLC | Skilled Nursing Facility | 50 Maude St, Providence, RI 02908-4325 | 2014-02-27 |
| 1942634407 | Shareen Holly | Psychologist | 50 Maude St, Elmhurst Extended Bldg, 5th Fl, Providence, RI 02908-4325 | 2013-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588196133 | Elisabeth Marie Butler | Nurse Practitioner | 114 Swift St, Providence, RI 02904-1437 | 2017-04-03 |
| 1366842346 | Yetunde Oluwatoyin Shittu | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2014-08-27 |
| 1962573204 | Cheryl A Fitzgerald | Nurse Practitioner | 50 Maude St, Elmhurst Extended Care Facilities, Inc., Providence, RI 02908-4325 | 2006-11-10 |
| 1720165582 | Barbara Duffy Evans | Nurse Practitioner | 1085 N Main St, Providence, RI 02904-5719 | 2006-11-01 |
| 1356454250 | Nancy Ellen Crandall | Nurse Practitioner | 2 Dudley St, Suite 470, Providence, RI 02905-3236 | 2006-08-16 |
| 1922013788 | Paul J Simkowski | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285261339 | Saina Cadet | Nurse Practitioner | 3 Loring Ln, North Providence, RI 02904-3011 | 2020-03-26 |
| 1215482831 | Cynthia Ruggiero | Nurse Practitioner | 222 Jefferson Blvd Ste 200, Warwick, RI 02888-3855 | 2016-08-24 |
| 1467712661 | Joan Theresa Walton | Nurse Practitioner | 34 Wilton Ave, Pawtucket, RI 02861-2916 | 2012-05-22 |
| 1881902096 | Diane Marie Costa | Nurse Practitioner | 42 Basswood Dr, Bristol, RI 02809-4912 | 2010-09-22 |
| 1053590224 | Christine Marie Hall | Nurse Practitioner | 155 Wickford Point Rd, North Kingstown, RI 02852-4049 | 2007-10-24 |
| 1194774943 | Genesis Elder Care Physician Services LLC | Nurse Practitioner | 660 Commonwealth Avenue, Warwick, RI 02886-2707 | 2006-05-09 |
| 1295369452 | Mary Ann Caouette | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-02-26 |
| 1679104236 | Jamie Lee Delacruz | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-01-31 |
| 1649838400 | Colin Brian Burns | Nurse Practitioner | 25 Wells St, Westerly, RI 02891-2922 | 2019-06-05 |
| 1477035749 | Kellsey Cormier | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2018-09-04 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on ANNETTE L KELLEHER.
| 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.