WELLNESS CONNECT GO BEYOND MEDICINE, LLC (NPI# 1487203303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487203303 |
| Entity Type | Organization |
| Organization Name | WELLNESS CONNECT GO BEYOND MEDICINE, LLC |
| Practice Address |
170 Rhodes St Providence RI 02903-4919 |
| Practice Telephone | 4013900734 |
| Mailing Telephone | 4016420100 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2020-09-05 |
| Authorized Official Name | MIRIANNYS RIVAS (FNP-C) |
| Authorized Official Telephone | 4016420100 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
170 RHODES ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02903-4919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790240141 | Miriannys Rivas | Nurse Practitioner | 170 Rhodes St, Providence, RI 02903-4919 | 2019-02-08 |
| 1336769033 | Arlinda Santos | Nurse Practitioner | 170 Rhodes St, Providence, RI 02903-4919 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
| 1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
| 1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
| Find all providers in zip 02903 | ||||
| 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 |
|---|---|---|---|---|
| 1982254876 | Jean Ernst Noel | Family Medicine | 22 Parsonage St # 194, Providence, RI 02903-4758 | 2019-09-12 |
| 1619526217 | Jean Simon Joel Edouard | Family Medicine | 22 Parsonage St # 184, Providence, RI 02903-4758 | 2019-09-05 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1114115664 | Jeremy Broadhurst | Family Medicine | 190 S Highway 165, Providence, UT 84332-9512 | 2007-10-10 |
| 1053443911 | Chad Brown Health Center | Family Medicine | 285a Chad Brown St, Providence, RI 02908-3102 | 2007-03-09 |
| 1679608582 | Peachtree Family Medicine PC | Family Medicine | 169 N Gateway Dr, 170, Providence, UT 84332-9855 | 2007-02-22 |
| 1679647432 | Marsha Maxine Miller | Family Medicine | Brown University Health Services, Brown University, 13 Brown Street, Providence, RI 02912-0001 | 2006-11-20 |
| 1881781920 | Arthur A Frazzano | Family Medicine | 97 Waterman St, Providence, RI 02912-9079 | 2006-10-09 |
| 1871609842 | Wayne C Cole | Family Medicine | 121 East Main St, Providence, KY 42450 | 2006-08-22 |
| 1629181268 | David J Coia | Family Medicine | 235 Plain St Ste 103, Providence, RI 02905-3242 | 2006-08-17 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02903 |
Please comment or provide details below to improve the information on WELLNESS CONNECT GO BEYOND MEDICINE, LLC.
| 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.