YETUNDE OLUWATOYIN SHITTU


Address: 830 Chalkstone Ave, Providence, RI 02908-4734
Phone: 4012737100

YETUNDE OLUWATOYIN SHITTU (NPI# 1366842346) 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) 1366842346
Entity Type Individual
Full Name YETUNDE OLUWATOYIN SHITTU
Credential NP
Practice Address 830 Chalkstone Ave
Providence
RI 02908-4734
Mailing Address 3 Cecelia Dr
Johnston
RI 02919-4718
Practice Telephone 4012737100
Mailing Telephone 4019429761
Enumeration Date 2014-08-27
Last Update Date 2014-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
NPP37903 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 830 CHALKSTONE AVE
City PROVIDENCE
State RI
Zip Code 02908-4734

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174510853 Frances Ann Bettencourt Nurse Practitioner 830 Chalkstone Ave, Providence, RI 02908-4734 2005-09-29
1881295277 Johnna Bussiere Nurse's Aide 830 Chalkstone Ave, Providence, RI 02908-4734 2020-11-03
1770196578 Caroline Sophie Holman Psychologist 830 Chalkstone Ave, Providence, RI 02908-4734 2020-08-31
1104437458 Vivian Vang Registered Nurse 830 Chalkstone Ave, Providence, RI 02908-4734 2020-08-11
1841800604 Wilcania Baez Social Worker 830 Chalkstone Ave, Providence, RI 02908-4734 2020-08-06
1609484757 Stephen Soonbeom Kwon Student in an Organized Health Care Education/Training Program 830 Chalkstone Ave, Providence, RI 02908-4734 2020-07-15
1972111029 Keenan Sandouk Student in an Organized Health Care Education/Training Program 830 Chalkstone Ave, Providence, RI 02908-4734 2020-07-15
1952919011 Yumna Arif Student in an Organized Health Care Education/Training Program 830 Chalkstone Ave, Providence, RI 02908-4734 2020-07-15
1760009518 Hassan Saada Nurse Practitioner 830 Chalkstone Ave, Providence, RI 02908-4734 2020-06-28
1952927675 Susannah Kondrath Psychologist 830 Chalkstone Ave, Providence, RI 02908-4734 2020-06-18
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588196133 Elisabeth Marie Butler Nurse Practitioner 114 Swift St, Providence, RI 02904-1437 2017-04-03
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
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

Providers in the same taxonomy and state

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
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Competitor

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City PROVIDENCE
Zip Code 02908

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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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