MS. MARY JANE T CREELY (NPI# 1356484265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356484265 |
| Entity Type | Individual |
| Full Name | MS. MARY JANE T CREELY |
| Credential | MS, RN, PCNS |
| Practice Address |
127 Johnny Cake Hill Rd Middletown RI 02842-5674 |
| Practice Telephone | 4018461213 |
| Practice Fax Number | 4018489151 |
| Mailing Telephone | 4018461213 |
| Mailing Fax Number | 4018489151 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
PNS00002 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MC14017 | 05 |
| Street Address |
127 JOHNNY CAKE HILL RD |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713174 | Newport County Community Mental Health Center, Inc. | Case Management | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2005-07-12 |
| 1750980157 | Jacqueline Marie Rogers | Social Worker | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-10-19 |
| 1043836521 | Janice Ann Bernstein | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-06-22 |
| 1578189049 | Korie Lynn Medeiros | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-06-22 |
| 1578069365 | Blanka Sumbarauskas | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2018-04-02 |
| 1114430576 | Jennifer Marilyn Peters | Social Worker | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-11-08 |
| 1285145417 | Alice Raim | Counselor | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-10-16 |
| 1275059487 | Jillian Mcleish | Social Worker | 127 Johnny Cake Hill Rd, Middletown, RI 02842 | 2017-08-18 |
| 1194250472 | Alycia Goncalo | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-04-25 |
| 1063946770 | Cynthia Homen | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-04-19 |
| 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 | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043461627 | Caren Michelle Coffy-mccormick | Clinical Nurse Specialist | 292 Carter Dr, Suite B, Middletown, DE 19709-5846 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821256009 | Joan Wright Harrison | Clinical Nurse Specialist | 156 Meeting St, Providence, RI 02906-1321 | 2008-05-25 |
| 1063687317 | Laura Beth Chalk | Clinical Nurse Specialist | 208 Governor St Fl 2, Providence, RI 02906-3246 | 2008-04-28 |
| 1063628717 | Donald T. Bobola | Clinical Nurse Specialist | 170 Bradford St, Bristol, RI 02809-2367 | 2007-05-16 |
| 1225073638 | The Miriam Hospital | Clinical Nurse Specialist | 146 W River St Ste 11a, Providence, RI 02904-2609 | 2006-06-19 |
| 1558328567 | Catherine Anne Viens | Clinical Nurse Specialist | East Bay Center, 2 Old County Road, Barrington, RI 02806 | 2006-04-26 |
| 1497711030 | Donna M Leite | Clinical Nurse Specialist | 1130 Ten Rod Rd Ste E-204, C/o Associates In Psychotherapy, North Kingstown, RI 02852 | 2006-04-22 |
| 1982118295 | Canaan Psychotherapy Inc | Clinical Nurse Specialist | 85 Beach St, Westerly, RI 02891-2717 | 2017-11-22 |
| 1487177440 | Julia Cole Burke | Clinical Nurse Specialist | 530 N Main St, Providence, RI 02904-5762 | 2017-07-21 |
| 1801246616 | Garden City Psychiatry LLC | Clinical Nurse Specialist | 105 Sockanosset Cross Rd, Suite 320, Cranston, RI 02920-5560 | 2016-06-13 |
| 1245695964 | Petitpas Psychiatric Services, LLC | Clinical Nurse Specialist | 900 Reservoir Ave, Ste.2, Cranston, RI 02910-4453 | 2015-12-22 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
Please comment or provide details below to improve the information on MS. MARY JANE T CREELY.
| 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.