JOANNE CUSTODIO


Address: 825 Chalkstone Ave, Providence, RI 02908-4728
Phone: 4014562000

JOANNE CUSTODIO (NPI# 1447716527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447716527
Entity Type Individual
Full Name JOANNE CUSTODIO
Credential CRNA
Practice Address 825 Chalkstone Ave
Providence
RI 02908-4728
Mailing Address 690 Canton St Ste 325
Westwood
MA 02090-2324
Practice Telephone 4014562000
Enumeration Date 2019-02-14
Last Update Date 2019-02-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered APRN02006 RI Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered RN2305195 MA Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered RN50949 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 825 CHALKSTONE AVE
City PROVIDENCE
State RI
Zip Code 02908-4728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467459263 Ritesh Rathore Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2005-07-07
1821698903 Afsana Jahan Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-10-28
1861090508 Anthony Joseph Paoletta Social Worker 825 Chalkstone Ave, Providence, RI 02908-4728 2020-10-14
1255941720 Georgio Medawar Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-08-08
1265042733 Jessica Khoury Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-08-08
1215547617 Amy Remillard Social Worker 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-31
1225647738 Abdallah Mohamed Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-30
1467061309 Catherine Ekladios Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
1982213948 Jamal Al Ali Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
1811506793 Sadollah Ghasempour Soleymani Internal Medicine 825 Chalkstone Ave, Providence, RI 02908-4728 2020-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548771900 Horizon Wellness Clinic/Center 1339 Smith St, North Providence, RI 02908 2017-10-12
1477098069 Beth Perry Nurse Practitioner 830 Chalstone Ave., Providence, RI 02908 2017-01-05
1659788735 Brandi Kimble Podiatrist 825 Chalkstone Avenue, Providence, RI 02908 2014-07-21
1912253675 Roger Williams Medical Center Long Term Care Hospital 25 Chalkstone Ave, Providence, RI 02908 2012-07-31
1669768818 Elisa Semedo Physical Therapist 285 Promenade Street, Providence, RI 02908 2011-06-27
1255655502 Caregiver Homes of Rhode Island Inc. Custodial Care Facility 235 Promenade Street, Providence, RI 02908 2010-03-16
1487884987 Professional Ambulance LLC Ambulance 52 River Ave, Providence, RI 02908 2009-07-17
1609065804 Stephen W Davis Family Medicine 299 Promenade Street, Nhpri, Providence, RI 02908 2007-10-24
1205053899 John R Ricci Dentist 1252 Smith St, Providence, RI 02908 2007-04-18
1871718718 Brett C Auclaire Nurse Practitioner 40 Candace Street, Providence, RI 02908 2007-04-16
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972116523 Sleepy Smiles LLC Nurse Anesthetist, Certified Registered 530 W 465 N Ste 703, Providence, UT 84332-8006 2020-08-24
1033359005 Michaela J Hubbard Nurse Anesthetist, Certified Registered 33 Staniford St Fl 2, Providence, RI 02905-3105 2009-03-03
1720224140 Alina Benoit Nurse Anesthetist, Certified Registered 185 Elmgrove Ave, Providence, RI 02906-4240 2009-01-07
1316563117 Kate Bishop Nurse Anesthetist, Certified Registered 593 Eddy St, Providence, RI 02903-4923 2020-06-18
1821613639 Laurie Jean Isabella Nurse Anesthetist, Certified Registered 593 Eddy St, Providence, RI 02903-4923 2020-06-08
1083246102 Erin Kathleen Casimiro Nurse Anesthetist, Certified Registered 593 Eddy St, Providence, RI 02903-4923 2020-02-06
1871125039 Stephanie A Wilson Nurse Anesthetist, Certified Registered 593 Eddy St, Providence, RI 02903-4923 2020-02-06
1043842313 Brittany Williams Nurse Anesthetist, Certified Registered 593 Eddy St, Providence, RI 02903-4923 2020-02-05
1265931265 Vanessa Lauren Marzilli Nurse Anesthetist, Certified Registered 593 Eddy St, Providence, RI 02903-4923 2018-02-05
1346748977 Devin Holden Sadlers Nurse Anesthetist, Certified Registered 593 Eddy St, Providence, RI 02903-4923 2018-01-29
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Competitor

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City PROVIDENCE
Zip Code 02908

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Dataset Information

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.

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