NANCY ELLEN CRANDALL (NPI# 1356454250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356454250 |
| Entity Type | Individual |
| Full Name | NANCY ELLEN CRANDALL |
| Credential | RNP |
| Practice Address |
2 Dudley St Suite 470 Providence RI 02905-3236 |
| Mailing Address |
Po Box 16149 Rumford RI 02916-0697 |
| Practice Telephone | 4012280600 |
| Practice Fax Number | 4018682311 |
| Mailing Telephone | 4014539625 |
| Mailing Fax Number | 4014357069 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN00040 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
NPP20893 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437285046 | Nancy M Crandall | Speech-Language Pathologist | 14 E Douglas Pkwy, Wichita, KS 67206-2503 | 2007-02-26 |
| Street Address |
2 DUDLEY ST SUITE 470 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343651 | Northeast Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 2 Dudley St, Ste 161, Providence, RI 02905-3236 | 2005-06-01 |
| 1366935231 | Christy Gandhi | Obstetrics & Gynecology | 2 Dudley St, Providence, RI 02905-3236 | 2018-06-14 |
| 1295274215 | Nora Kinslow | Occupational Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2017-02-23 |
| 1578008082 | Laura Nelson | Occupational Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2016-12-20 |
| 1619328127 | Bryan Jon Berlin | Physician Assistant | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2016-06-27 |
| 1245600238 | Kristin Wedel | Social Worker | 2 Dudley St, Providence, RI 02905-3236 | 2015-10-02 |
| 1497155378 | Michael Platz | Occupational Therapist | 2 Dudley St, Ste 200, Providence, RI 02905-3236 | 2014-08-28 |
| 1164831160 | Nicholas Bruno | Physical Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2014-08-05 |
| 1619389160 | Laurie J Deruosi | Nurse Practitioner | 2 Dudley St, Suite G 85, Providence, RI 02905-3236 | 2014-06-02 |
| 1851729511 | Rhode Island Hospital | Surgery | 2 Dudley St, Suite 180, Providence, RI 02905-3236 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| 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 |
| 1316178676 | Annette L Kelleher | Nurse Practitioner | 50 Maude St, Providence, RI 02908-4325 | 2009-08-05 |
| 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 |
| 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 | 02905 |
Please comment or provide details below to improve the information on NANCY ELLEN CRANDALL.
| 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.