GERDA NEWCOMB (NPI# 1417331521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417331521 |
| Entity Type | Individual |
| Full Name | GERDA NEWCOMB |
| Credential | NP |
| Practice Address |
174 Armistice Blvd #c Pawtucket RI 02860 |
| Mailing Address |
450 Veterans Memorial Pkwy Unit 15b East Providence RI 02914-5300 |
| Practice Telephone | 4017253520 |
| Mailing Telephone | 4014343350 |
| Mailing Fax Number | 4014345230 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2014042986 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN00746 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN00746 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 174 Armistice Blvd, #c, Pawtucket, RI 028603280 | 4017253520 | |
| 450 Veterans Memorial Pkwy Unit 15b, East Providence, RI 029145300 | 4014343350 | 4014345230 |
| Street Address |
174 ARMISTICE BLVD #C |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648356 | John R. Morton | Obstetrics & Gynecology | 174 Armistice Blvd, Pawtucket, RI 02860-3210 | 2005-12-05 |
| 1215542360 | Anthony Mattiello | Physician Assistant | 174 Armistice Blvd, Pawtucket, RI 02860-3280 | 2020-09-14 |
| 1376108068 | Natalia Arenas | Registered Nurse | 174 Armistice Blvd, Pawtucket, RI 02860-3280 | 2019-05-08 |
| 1891220927 | Tierney Richardson | Physician Assistant | 174 Armistice Blvd, Pawtucket, RI 02860-3280 | 2017-04-26 |
| 1265972350 | Keith D'alton Shields | Physician Assistant | 174 Armistice Blvd, Room C, Pawtucket, RI 02860-3280 | 2017-03-08 |
| 1366715633 | Rafael Enrique Liporaci Lucena | Internal Medicine | 174 Armistice Blvd, Pawtucket, RI 02860-3280 | 2012-02-17 |
| 1144459314 | Maria Valeria Fabre | Internal Medicine | 174 Armistice Blvd, Pawtucket, RI 02860-3280 | 2009-07-09 |
| 1295882223 | Joyce Coppola | Internal Medicine | 174 Armistice Blvd, Unit C, Pawtucket, RI 02860-3269 | 2007-01-04 |
| 1548362981 | Janet M Benson | Nurse Practitioner | 174 Armistice Blvd, Pawtucket, RI 02860 | 2006-09-05 |
| 1174533756 | Family Medicine Specialists Inc | Family Medicine | 174 Armistice Blvd, Pawtucket, RI 02860 | 2006-08-08 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942796339 | Patricia J Doolin | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-07-09 |
| 1003034869 | Blackstone Cardiology Associates, PC | Nurse Practitioner | 333 School St, Suite 112, Pawtucket, RI 02860-5334 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627476 | Kimberly Jill Enos | Nurse Practitioner | 825 Chalkstone Ave # Prior207, Providence, RI 02908-4728 | 2020-10-19 |
| 1689290751 | Afya Services LLC | Nurse Practitioner | 61 Leah St, Providence, RI 02908-5130 | 2020-06-24 |
| 1275159501 | Valerie Marie Almeida Monroe | Nurse Practitioner | 60 Valley St Ste 104, Providence, RI 02909-7418 | 2020-06-23 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1326557521 | Diana Suk Wah Lam | Nurse Practitioner | 34 S Bennett Dr, Johnston, RI 02919-6323 | 2017-09-20 |
| 1841695988 | Gail Maureen Mosher | Nurse Practitioner | 62 Friendship St, Newport, RI 02840-2251 | 2014-10-31 |
| 1104134113 | Joann M Moore | Nurse Practitioner | 1681 Cranston St Ste D, Cranston, RI 02920-5000 | 2010-09-24 |
| 1568555183 | Silver Spring Health Care Management, Inc. | Nurse Practitioner | 3461 South County Trail, East Greenwich, RI 02818-3999 | 2006-10-02 |
| 1104855386 | Kathy J Cookson | Nurse Practitioner | 255 Promenade St, Apt. 348, Providence, RI 02908-5746 | 2006-07-01 |
| 1164474813 | Michelle Lynn Rowe | Nurse Practitioner | 150 Chestnut St, Providence, RI 02903-4645 | 2006-05-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GERDA NEWCOMB.
| 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.