MRS. ELIZABETH ANN TEGAN (NPI# 1386789345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386789345 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH ANN TEGAN |
| Credential | M.S.R.N.C.S. |
| Practice Address |
400 Bald Hill Rd Suite 510 Warwick RI 02886-1617 |
| Practice Telephone | 4017323637 |
| Practice Fax Number | 4017322875 |
| Mailing Telephone | 4017323637 |
| Mailing Fax Number | 4017322875 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
PNS00020 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 BALD HILL RD SUITE 510 |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711830 | David Robert Katzen | Allergy & Immunology | 400 Bald Hill Rd, Ste 527, Warwick, RI 02886-6100 | 2005-06-27 |
| 1497363105 | Miranda Icart | Psychologist | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2020-07-20 |
| 1821652215 | Leah Dillon | Physical Therapy Assistant | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2019-05-01 |
| 1457827727 | Iblin Penagos-chinchilla | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2018-10-15 |
| 1164905329 | Kathleen Bacon | Physical Therapist | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2018-09-12 |
| 1437631686 | Kyla Kennedy | Student in an Organized Health Care Education/Training Program | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2018-09-04 |
| 1275049280 | Elizabeth Clark Dwyer | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-12-28 |
| 1174051742 | Juliette Ariel Holtzman | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-05-26 |
| 1093242679 | Dionna Lang | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-05-15 |
| 1871025296 | Katelin Marie Whipple | Counselor | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2017-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215994306 | Cynthia M Jankowski | Clinical Nurse Specialist | 75 Lambert Lind Hwy, Quality Behavioral Health Inc, Warwick, RI 02886-1131 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275939068 | William T White | Clinical Nurse Specialist | 247 Oaklawn Ave, Cranston, RI 02920-3822 | 2014-11-06 |
| 1396393146 | Mahreen Rashid | Clinical Nurse Specialist | 63 Eddie Dowling Hwy Ste 9, North Smithfield, RI 02896-7322 | 2019-08-26 |
| 1285189423 | Jeffrey Drury | Clinical Nurse Specialist | 154 Waterman St, Providence, RI 02906-3116 | 2016-08-17 |
| 1063818359 | Katharine Bird White | Clinical Nurse Specialist | 247 Oaklawn Ave, Cranston, RI 02920-3822 | 2014-11-13 |
| 1992056758 | Compass Rose Psychiatry, LLC | Clinical Nurse Specialist | 107 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2012-09-19 |
| 1013281963 | Christine Boie | Clinical Nurse Specialist | 100 Kenyon Ave, Wakefield, RI 02879-4216 | 2012-02-23 |
| 1356677736 | Lynne Agar | Clinical Nurse Specialist | 593 Eddy St, Main, Rm 038, Providence, RI 02903-4923 | 2009-10-20 |
| 1922280817 | Susan Elizabeth Gagnon | Clinical Nurse Specialist | 450 Clinton St, Thundermist Health Center, Woonsocket, RI 02895-3207 | 2007-12-03 |
| 1831256221 | Cathy D Lindbeck | Clinical Nurse Specialist | 55 Cummings Way, Woonsocket, RI 02895-3247 | 2007-01-03 |
| 1750476735 | Carlene J Page | Clinical Nurse Specialist | 200 High Service Avenue, Marian Hall 1st Floor, North Providence, RI 02904 | 2006-10-04 |
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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.