MRS. EMILY HENAULT


Address: 195 Collyer St, Suite 302, Providence, RI 02904-1869
Phone: 4017935145

MRS. EMILY HENAULT (NPI# 1598077588) 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) 1598077588
Entity Type Individual
Full Name MRS. EMILY HENAULT
Other Name MS. EMILY PERKINS
Credential PA-C
Practice Address 195 Collyer St
Suite 302
Providence
RI 02904-1869
Mailing Address Po Box 16149
Rumford
RI 02916-0697
Practice Telephone 4017935145
Practice Fax Number 4017935171
Mailing Telephone 4018542428
Mailing Fax Number 4014357069
Enumeration Date 2010-07-08
Last Update Date 2010-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA00410 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 195 COLLYER ST
SUITE 302
City PROVIDENCE
State RI
Zip Code 02904-1869

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790783744 Beth Ann Ryder Surgery 195 Collyer St, Suite 302, Providence, RI 02904-1869 2005-07-13
1710454152 Melissa Hunter Occupational Therapist 195 Collyer St, Providence, RI 02904-1869 2018-10-24
1013492073 Ashley Norian Speech-Language Pathologist 195 Collyer St, Providence, RI 02904-1869 2018-09-26
1487902276 Sunhe Fusco Nurse Practitioner 195 Collyer St, Suite 302, Providence, RI 02904-1869 2012-08-27
1215283825 Shannon Marie Lane Physical Therapy Assistant 195 Collyer St, Providence, RI 02904-1869 2012-08-01
1649526286 The Miriam Hospital Outpatient Rehabilitation Clinic/Center 195 Collyer St, Providence, RI 02904-1869 2012-08-01
1114299112 Courtney Alissa Klenk Physical Therapist 195 Collyer St, 3rd Floor, Providence, RI 02904-1869 2012-02-07
1912235318 Elisa Marie Wasilewski Physician Assistant 195 Collyer St, Suite 302, Providence, RI 02904-1869 2009-11-23
1013177518 Boris Gershman Urology 195 Collyer St, Suite 201, Providence, RI 02904-1869 2008-06-10
1336365873 University Urological Associates, Inc. Urology 195 Collyer St, Suite 201, Providence, RI 02904-1869 2007-04-17
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356900591 Ryan O'kelly Physician Assistant 285 Promenade St, Providence, RI 02908 2019-06-11
1558841999 Lindsey Scherer Physician Assistant 825 Chalkstone Ave, Providence, RI 02908 2018-08-15
1134658339 Kevin P Santilli Physician Assistant 593 Eddy St, Providence, RI 02903-4923 2017-06-09
1194260984 Brittany Hogan Physician Assistant 593 Eddy St, 6th Floor, Providence, RI 02903-4923 2017-01-03
1356789549 Michelle Bernice Ristuccia Physician Assistant 164 Summit Ave # C70, Providence, RI 02906-2853 2013-06-10
1356691430 Kelvin Nam Doan Physician Assistant 164 Summit Ave # C70, Providence, RI 02906-2853 2012-09-14
1588911457 Britta Renzulli Physician Assistant 2 Dudley St, Suite 190, Providence, RI 02905-3236 2012-08-10
1174896211 Stephanie Slone Physician Assistant 593 Eddy St, Providence, RI 02903-4923 2012-02-21
1316210545 Peter Richard Mello Physician Assistant 118 Dudley St, Providence, RI 02905-2403 2012-02-19
1679844807 Joseph Paul Paciello Physician Assistant 2 Dudley St, Providence, RI 02905-3236 2012-01-19
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City PROVIDENCE
Zip Code 02904

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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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