ALYSSA PULLAN (NPI# 1366983314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366983314 |
| Entity Type | Individual |
| Full Name | ALYSSA PULLAN |
| Credential | PMHNP-BC |
| Practice Address |
78 Courtney Ave Pawtucket RI 02861-3935 |
| Mailing Address |
180 Waterman Ave North Providence RI 02911-4100 |
| Practice Telephone | 4017252264 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN01459 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2275251 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
78 COURTNEY AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02861-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629525209 | Brianna Laurila | Dietitian, Registered | 541 Cottage Street, Pawtucket, RI 02861 | 2016-09-01 |
| 1790056430 | Matthew J Lavoie | Physician Assistant | 70 Gill Ave., Pawtucket Center, Genesis Health Care, Pawtucket, RI 02861 | 2012-01-25 |
| 1356359293 | Anita N Vasvani | Dentist | 140 Newport Ave, Pawtucket, RI 02861 | 2006-08-04 |
| 1548294408 | Stop and Shop Supermarket Co LLC | Pharmacy | 368398 Cottage Street, Pawtucket, RI 02861 | 2006-07-10 |
| 1154363695 | Levis M Guzman | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861 | 2006-06-11 |
| 1265938179 | Modern Eyes LLC | Optometrist | 145 Newport Ave, Pawtucket, RI 02861 | 2018-04-01 |
| 1942313929 | Abbas Ghorieshi | Dentist | 115 Newport Ave, Pawtucket, RI 02861 | 2006-08-16 |
| 1114499506 | Arts, Sports, and Technology Resource Organization | Poetry Therapist | 175 Coyle Ave, Pawtucket, RI 02861-1007 | 2018-12-22 |
| 1235600255 | Abdoulaye Soumahoro | Driver | 68 Webster St, Pawtucket, RI 02861-1016 | 2018-12-17 |
| 1376761544 | Professional Internal Medicine Associates Inc | Internal Medicine | 139 Benefit St, Pawtucket, RI 02861-1024 | 2007-04-23 |
| Find all providers in zip 02861 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149686 | Goldline Health and Wellness LLC | Nurse Practitioner | 750 East Ave Lowr Level, Pawtucket, RI 02860-6245 | 2020-06-20 |
| 1477197820 | Jaron Keough | Nurse Practitioner | 232 Pawtucket Ave Apt 1, Pawtucket, RI 02860-5169 | 2019-10-29 |
| 1033363601 | Brandi Parker Cotton | Nurse Practitioner | 160 Beechwood Ave, Pawtucket, RI 02860-5402 | 2008-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540042 | North Road Psychiatry LLC | Nurse Practitioner | 23 North Rd Ste A11, Peace Dale, RI 02879-8108 | 2020-08-31 |
| 1750992319 | Katherine Elizabeth Loffredo | Nurse Practitioner | 74 Seymour St, Warren, RI 02885-4227 | 2020-08-16 |
| 1215562566 | Katie Elizabeth Thayer | Nurse Practitioner | 300 Centerville Rd Ste 101, Warwick, RI 02886-0200 | 2020-03-06 |
| 1538622394 | Partners In Psychiatry LLC | Nurse Practitioner | 1525 Old Louisquisset Pike Ste B203, Lincoln, RI 02865-4522 | 2019-04-09 |
| 1356819908 | Kellie Ferrie | Nurse Practitioner | 250 Wampanoag Trl Ste 302, Riverside, RI 02915-2217 | 2018-11-12 |
| 1306326202 | Samuel David Kaufman | Nurse Practitioner | 34 Rice Ave, E Providence, RI 02914-3147 | 2018-08-20 |
| 1205350980 | Tabitha Ann Imondi | Nurse Practitioner | 1525 Old Louisquisset Pike Ste 203, Lincoln, RI 02865-4503 | 2017-08-03 |
| 1861944969 | Innovative Therapeutics of Rhode Island LLC | Nurse Practitioner | 316 Willett Ave, Riverside, RI 02915-2511 | 2016-10-25 |
| 1265985840 | Whitney Ogbo | Nurse Practitioner | 1150 Reservoir Ave Ste 305-a, Cranston, RI 02920-6068 | 2016-07-29 |
| 1427457142 | Deborah Horvitz | Nurse Practitioner | 60 Blackstone Blvd, Providence, RI 02906-5401 | 2014-08-19 |
| Find all providers with the same taxonomy | ||||
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| 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.