MICHELLE BERNICE RISTUCCIA


Address: 164 Summit Ave # C70, Providence, RI 02906-2853
Phone: 4017934545

MICHELLE BERNICE RISTUCCIA (NPI# 1356789549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356789549
Entity Type Individual
Full Name MICHELLE BERNICE RISTUCCIA
Credential PA
Practice Address 164 Summit Ave # C70
Providence
RI 02906-2853
Mailing Address Po Box 16149
Rumford
RI 02916-0697
Practice Telephone 4017934545
Practice Fax Number 4017937866
Mailing Telephone 4014539625
Mailing Fax Number 4014357069
Enumeration Date 2013-06-10
Last Update Date 2020-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 164 SUMMIT AVE # C70
City PROVIDENCE
State RI
Zip Code 02906-2853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457328221 Richard A. Hernandez Physician Assistant 164 Summit Ave # C70, Providence, RI 02906-2853 2006-03-01
1568072510 Anthony Henriques Nurse Practitioner 164 Summit Ave # C70, Providence, RI 02906-2853 2020-08-05
1356691430 Kelvin Nam Doan Physician Assistant 164 Summit Ave # C70, Providence, RI 02906-2853 2012-09-14
1467783357 Karen M Doyle Nurse Practitioner 164 Summit Ave # C70, Providence, RI 02906-2853 2010-01-18
1174586671 Phathsady Louangxay Physician Assistant 164 Summit Ave # C70, Providence, RI 02906-2853 2006-04-07
1972570182 Pamela M Brissette Physician Assistant 164 Summit Ave # C70, Providence, RI 02906-2853 2006-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285245175 Birdsong Traditional Medicine, LLC Acupuncturist 148 Waterman St. Ground Level, Providence, RI 02906 2020-08-13
1881218071 Madison Pomerantz Psychiatry & Neurology 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 2020-06-03
1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1275063919 Marissa Martz Psychiatry & Neurology 345 Blackstone Blvd., Providence, RI 02906 2017-06-15
1235663220 Alena Haltzman Counselor 223 Summit Ave, Providence, RI 02906 2017-04-17
1669823399 Kathryn Fleming-ives LLC Psychiatry & Neurology 355 Hope St Unit 1, Providence, RI 02906 2016-06-23
1134573389 Sarah E. Kramer Psychiatry & Neurology Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 2016-04-13
1538534201 Laura Anne Buss Social Worker 55 Hope St., Providence, RI 02906 2015-12-07
1700289360 Tinatin Surguladze Counselor 205 Waterman St Suite 106, Providence, RI 02906 2014-09-26
1467851519 Jamila Allouane Social Worker 120 Wayland Avenue Suite 2, Providence, RI 02906 2014-08-14
Find all providers in zip 02906

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356900591 Ryan O'kelly Physician Assistant 285 Promenade St, Providence, RI 02908 2019-06-11
1558841999 Lindsey Scherer Physician Assistant 825 Chalkstone Ave, Providence, RI 02908 2018-08-15
1134658339 Kevin P Santilli Physician Assistant 593 Eddy St, Providence, RI 02903-4923 2017-06-09
1194260984 Brittany Hogan Physician Assistant 593 Eddy St, 6th Floor, Providence, RI 02903-4923 2017-01-03
1356691430 Kelvin Nam Doan Physician Assistant 164 Summit Ave # C70, Providence, RI 02906-2853 2012-09-14
1588911457 Britta Renzulli Physician Assistant 2 Dudley St, Suite 190, Providence, RI 02905-3236 2012-08-10
1174896211 Stephanie Slone Physician Assistant 593 Eddy St, Providence, RI 02903-4923 2012-02-21
1316210545 Peter Richard Mello Physician Assistant 118 Dudley St, Providence, RI 02905-2403 2012-02-19
1679844807 Joseph Paul Paciello Physician Assistant 2 Dudley St, Providence, RI 02905-3236 2012-01-19
1023306156 Linhuang Han Physician Assistant 593 Eddy St, Main 4, Providence, RI 02903-4923 2011-07-11
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Competitor

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City PROVIDENCE
Zip Code 02906

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Dataset Information

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.

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