JACQUELINE M JOUBERT (NPI# 1447221668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447221668 |
| Entity Type | Individual |
| Full Name | JACQUELINE M JOUBERT |
| Credential | RNP |
| Practice Address |
195 Collyer St Ste 201 Providence RI 02904-1869 |
| Practice Telephone | 4012727799 |
| Practice Fax Number | 4014539078 |
| Mailing Telephone | 4012727799 |
| Mailing Fax Number | 4014539078 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NPP37168 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS BLUE SHIELD | 27837-7 | 01 |
| RI | NEIGHBORHOOD HEALTH PLAN | 1594 | 01 |
| RI | BLUE CHIP OF RI | 409771 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 845 N Main St, Suite 1, Providence, RI 029045700 | 4013319690 | 4013319609 |
| Street Address |
195 COLLYER ST STE 201 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467973099 | Brown Urology, Inc. | Radiology | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2017-07-05 |
| 1912310301 | Lauren Bakios | Surgery | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2014-06-04 |
| 1881011872 | David Watson Sobel | Urology | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2014-03-27 |
| 1578521183 | Steven Irvin Cohen | Urology | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043839848 | Christine Terhune | Nurse Practitioner | 16 Grotto Ave Apt 4, Providence, RI 02906-5523 | 2020-04-11 |
| 1841502804 | Diane Jean Smith | Nurse Practitioner | 280 Melrose St., Name: Concentra, Providence, RI 02901 | 2010-07-07 |
| 1033209895 | Stacy Ramsey | Nurse Practitioner | 111 Point Street, Providence, RI 02940-1142 | 2006-10-13 |
| 1003821869 | Jennifer R Ouellette | Nurse Practitioner | Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 | 2006-07-30 |
| 1619981529 | June M Fischer | Nurse Practitioner | 595 Eddy Street, Providence, RI 02901 | 2006-07-28 |
| 1154365054 | Cynthia J Buckley | Nurse Practitioner | Providence College Student Health Services, 549 River Ave, Providence, RI 02918-0001 | 2006-06-15 |
| 1902877178 | Christine B Butler | Nurse Practitioner | 845 N Main St, Suite 1, Providence, RI 02904-5700 | 2006-01-27 |
| 1578552030 | Elaine A Forbes | Nurse Practitioner | 9 Pleasant St, Medicine Associates, Providence, RI 02906 | 2005-10-18 |
| 1649267345 | Elizabeth Canino | Nurse Practitioner | 225 Chapman St, Providence, RI 02905-4533 | 2005-09-29 |
| 1174510853 | Frances Ann Bettencourt | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2005-09-29 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
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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.