KORIE LYNN MEDEIROS (NPI# 1578189049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578189049 |
| Entity Type | Individual |
| Full Name | KORIE LYNN MEDEIROS |
| Credential | REGISTERED NURSE |
| Practice Address |
127 Johnny Cake Hill Rd Middletown RI 02842-5674 |
| Practice Telephone | 4018461213 |
| Practice Fax Number | 4013246251 |
| Mailing Telephone | 4018461213 |
| Mailing Fax Number | 4013246251 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN62401 | RI | Nursing Service Providers |
| Street Address |
127 JOHNNY CAKE HILL RD |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842-5674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093713174 | Newport County Community Mental Health Center, Inc. | Case Management | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2005-07-12 |
| 1750980157 | Jacqueline Marie Rogers | Social Worker | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-10-19 |
| 1043836521 | Janice Ann Bernstein | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-06-22 |
| 1578069365 | Blanka Sumbarauskas | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2018-04-02 |
| 1114430576 | Jennifer Marilyn Peters | Social Worker | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-11-08 |
| 1285145417 | Alice Raim | Counselor | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-10-16 |
| 1275059487 | Jillian Mcleish | Social Worker | 127 Johnny Cake Hill Rd, Middletown, RI 02842 | 2017-08-18 |
| 1194250472 | Alycia Goncalo | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-04-25 |
| 1063946770 | Cynthia Homen | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-04-19 |
| 1366982431 | Anne Carney | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2017-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790050 | Patrycja Olechniej | Registered Nurse | 90 S Main St Ste 202, Middletown, CT 06457-3649 | 2020-02-03 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1104187954 | Irene Mankasibe Fuh | Registered Nurse | 210 Ann Dr Apt 304, Middletown, DE 19709-2606 | 2012-06-07 |
| 1316005002 | Melissa J Renner | Registered Nurse | 1045 Summitt Sq, Middletown, OH 45042-3464 | 2006-12-05 |
| 1043836521 | Janice Ann Bernstein | Registered Nurse | 127 Johnny Cake Hill Rd, Middletown, RI 02842-5674 | 2020-06-22 |
| 1497381248 | Bernice Ertrachter | Registered Nurse | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-03-12 |
| 1760016679 | Jenna Harris | Registered Nurse | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2020-02-29 |
| 1841830080 | Elizabeth Marjorie Gould-ruitto | Registered Nurse | 33 Pleasant St, Middletown, CT 06457-3641 | 2020-01-15 |
| 1336788207 | Diane M Bernier | Registered Nurse | 33 Pleasant St, Middletown, CT 06457-3641 | 2019-12-24 |
| 1013475920 | Christine Margaret Mackay | Registered Nurse | 15 Fortune Rd W, Middletown, NY 10941-1625 | 2019-03-10 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
Please comment or provide details below to improve the information on KORIE LYNN MEDEIROS.
| 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.