CRISTINA MITCHELL (NPI# 1407943814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407943814 |
| Entity Type | Individual |
| Full Name | CRISTINA MITCHELL |
| Credential | MD |
| Practice Address |
727 East Ave Pawtucket RI 02860-6184 |
| Mailing Address |
10 Davol Sq Suite 400 Providence RI 02903-4754 |
| Practice Telephone | 4017256160 |
| Practice Fax Number | 4017225430 |
| Mailing Telephone | 4014214000 |
| Mailing Fax Number | 4012721456 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD10113 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 7007414 | 05 |
| Street Address |
727 EAST AVE |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-6184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154382562 | Kenneth Farrell Sperber | Family Medicine | 727 East Ave, Pawtucket, RI 02860-6184 | 2006-03-28 |
| 1295298677 | Lauren Nicole Waterman | Registered Nurse | 727 East Ave, Pawtucket, RI 02860-6185 | 2019-04-11 |
| 1619490406 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 727 East Ave, Pawtucket, RI 02860-6185 | 2017-07-24 |
| 1336509413 | Yvette Moreno | Nurse Practitioner | 727 East Ave, Pawtucket, RI 02860-6185 | 2016-03-02 |
| 1467719088 | Lily Pike | Family Medicine | 727 East Ave, Pawtucket, RI 02860-6185 | 2012-04-20 |
| 1265720304 | Jessica Bazar | Physical Therapist | 727 East Ave, Pawtucket, RI 02860-6184 | 2011-07-11 |
| 1326333923 | Melissa Mary Deanseris | Pharmacist | 727 East Ave, Pawtucket, RI 02860-6184 | 2011-06-13 |
| 1063745123 | Carol A Garcia-benoit | Nurse Practitioner | 727 East Ave, Suite 100, Pawtucket, RI 02860-6185 | 2009-09-08 |
| 1124151634 | Irina M Boguk | Pharmacist | 727 East Ave, Pawtucket, RI 02860-6184 | 2007-03-13 |
| 1447392469 | Hillside Avenue Family and Community Medicine, LLC | Non-Pharmacy Dispensing Site | 727 East Ave, Pawtucket, RI 02860-6184 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750930103 | Integrated Psychological Services | Family Medicine | 333 School St Ste 109, Pawtucket, RI 02860-5335 | 2019-09-09 |
| 1417417734 | Danielle Turnquest | Family Medicine | 111 Brewster St Bldg 3, Pawtucket, RI 02860-4474 | 2019-03-22 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1093120388 | Nelson Mendes | Family Medicine | 381 Pawtucket Ave, Pawtucket, RI 02860-5145 | 2014-06-25 |
| 1316187941 | Powers Family Health | Family Medicine | 174 Armistice Blvd Ste A1, Pawtucket, RI 02860-3269 | 2009-02-23 |
| 1376700039 | Suryadutt Venkat | Family Medicine | 126 Prospect St Ste 202, Pawtucket, RI 02860 | 2008-05-20 |
| 1154501708 | Donya A Powers Md | Family Medicine | 174 Armistice Blvd Ste 1a, Pawtucket, RI 02860-3269 | 2007-11-13 |
| 1386757656 | Cristina Pacheco | Family Medicine | 39 East Ave, Pawtucket, RI 02860-4003 | 2006-08-17 |
| Find all providers in PAWTUCKET | ||||
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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.