NICOLE ELIZABETH AUTHELET


Address: 164 Summit Ave, Providence, RI 02906-2853
Phone: 4017932500

NICOLE ELIZABETH AUTHELET (NPI# 1487174447) 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) 1487174447
Entity Type Individual
Full Name NICOLE ELIZABETH AUTHELET
Credential PA
Practice Address 164 Summit Ave
Providence
RI 02906-2853
Mailing Address 117 Ellenfield St
Ste 101
Providence
RI 02905-4513
Practice Telephone 4017932500
Mailing Telephone 4014446779
Mailing Fax Number 4014446912
Enumeration Date 2017-06-21
Last Update Date 2019-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
593 Eddy St, Providence, RI 029034923 4014444000
94 Fairway Ln, Warwick, RI 028892231 (401) 450-8135

Office Location

Street Address 164 SUMMIT AVE
City PROVIDENCE
State RI
Zip Code 02906-2853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558369512 Josephine Salhab Physician Assistant 164 Summit Ave, Rm C70, Providence, RI 02906-2853 2005-07-13
1619519865 Sarah Mcnerney Physician Assistant 164 Summit Ave, Providence, RI 02906-2853 2019-10-09
1831743095 Tracy Lynn Carraggi Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2853 2019-07-26
1689233975 Nicole Parascandolo Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2894 2019-06-10
1164992558 Lisha Andrew Dietitian, Registered 164 Summit Ave, Providence, RI 02906-2894 2018-11-28
1689156242 Monique Coley Physician Assistant 164 Summit Ave, Providence, RI 02906-2894 2018-08-30
1235615006 Sameh Mohamed Internal Medicine 164 Summit Ave, Providence, RI 02906-2894 2018-07-16
1578058087 Noor N Safadi Physician Assistant 164 Summit Ave, Providence, RI 02906-2853 2018-06-27
1356847172 Heidi Jimenez Nurse Practitioner 164 Summit Ave, Providence, RI 02906 2018-04-02
1831694439 Laura Canavan Nurse Practitioner 164 Summit Ave, Providence, RI 02906 2018-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285245175 Birdsong Traditional Medicine, LLC Acupuncturist 148 Waterman St. Ground Level, Providence, RI 02906 2020-08-13
1881218071 Madison Pomerantz Psychiatry & Neurology 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 2020-06-03
1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1275063919 Marissa Martz Psychiatry & Neurology 345 Blackstone Blvd., Providence, RI 02906 2017-06-15
1235663220 Alena Haltzman Counselor 223 Summit Ave, Providence, RI 02906 2017-04-17
1669823399 Kathryn Fleming-ives LLC Psychiatry & Neurology 355 Hope St Unit 1, Providence, RI 02906 2016-06-23
1134573389 Sarah E. Kramer Psychiatry & Neurology Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 2016-04-13
1538534201 Laura Anne Buss Social Worker 55 Hope St., Providence, RI 02906 2015-12-07
1700289360 Tinatin Surguladze Counselor 205 Waterman St Suite 106, Providence, RI 02906 2014-09-26
1467851519 Jamila Allouane Social Worker 120 Wayland Avenue Suite 2, Providence, RI 02906 2014-08-14
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922622265 Jacob H. Sosa Physician Assistant 11 Amy St, Providence, RI 02906-3802 2020-06-02
1114541661 Alison Ruth Dias Physician Assistant 164 Summit Ave Fl 3, Providence, RI 02906-2853 2020-06-01
1780210021 Michael Weller Physician Assistant 166 Valley St Apt 6a202, Providence, RI 02909-2467 2020-03-18
1659915221 Sanju Dhital Physician Assistant 15 Tew Pl, Providence, RI 02906-1721 2019-11-06
1467093823 Alan Miller Physician Assistant 79 11th St, Providence, RI 02906-2911 2019-10-07
1134774011 Linda Ung Physician Assistant 198 Wendell St, Providence, RI 02909-2129 2019-08-07
1346703527 Simran Kaur Kochar Physician Assistant 207 Jastram St, Providence, RI 02908-2708 2019-04-13
1457881666 Katelyn Mary Pires Physician Assistant 539 Eddy St., Providence, RI 02903 2017-06-20
1265556872 Tor Clark Physician Assistant Brown University Health Service, Box 1928, Providence, RI 02912 2007-03-19
1275509408 Sharonda Evette Keith Physician Assistant 593 Eddy Street, Apc-6, Lifespan Physician's Group, Dept of Neurosurgery, Providence, RI 02903 2006-02-27
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Competitor

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City PROVIDENCE
Zip Code 02906

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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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