CCSRI, LLC (NPI# 1598255168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598255168 |
| Entity Type | Organization |
| Organization Name | CCSRI, LLC |
| Practice Address |
650 Ten Rod Rd North Kingstown RI 02852-4238 |
| Mailing Address |
4321 Collington Rd Bowie MD 20716-2259 |
| Practice Telephone | 3018094000 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | VERONICA PICKENS (AVP, COMPLIANCE AND DELEGATION) |
| Authorized Official Telephone | 3018094000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
650 TEN ROD RD |
| City | NORTH KINGSTOWN |
| State | RI |
| Zip Code | 02852-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932124609 | Kristen Jean Baxter | Specialist | 650 Ten Rod Rd, Suite 10, North Kingstown, RI 02852-4238 | 2006-07-13 |
| 1306327440 | Rachel Leonard Licsw, Inc | Social Worker | 650 Ten Rod Rd, North Kingstown, RI 02852-4238 | 2018-08-27 |
| 1164748109 | Kathleen H Soares | Social Worker | 650 Ten Rod Rd, Unit 13, North Kingstown, RI 02852-4238 | 2010-04-15 |
| 1528207503 | Rachel Ann Leonard | Social Worker | 650 Ten Rod Rd, North Kingstown, RI 02852 | 2009-02-13 |
| 1275725798 | Premier Orthopedics & Work Rehabilitation | Clinic/Center | 650 Ten Rod Rd, North Kingstown, RI 02852-4238 | 2007-08-17 |
| 1669683603 | Alisson Rosenblum | Physical Therapist | 650 Ten Rod Rd, Lafayette Mill Complex, #10, North Kingstown, RI 02852-4238 | 2007-05-24 |
| 1073640488 | Sean Walsh | Social Worker | 650 Ten Rod Rd, Fsri, North Kingstown, RI 02852-4238 | 2007-02-27 |
| 1053467936 | Carol Ann Reinert | Counselor | 650 Ten Rod Rd, Unit 13, North Kingstown, RI 02852-4238 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1588216543 | Stop Look & Listen LLC | Counselor | 917 Ten Rod Rd, 917 Ten Rod Rd., North Kingstown, RI 02852 | 2019-07-10 |
| 1841856358 | Carlos Albert Saraiva | Pharmacist | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-10 |
| 1184143851 | Jessica Topitzer | Nurse Practitioner | 426f Scrabbletown Rd., N. Kingstown, RI 02852 | 2017-09-14 |
| 1275074940 | Amanda Kathryn Lennon | Social Worker | 2 Ripple Lane, North Kingstown, RI 02852 | 2017-03-15 |
| 1164975728 | Charlotte Elizabeth Bigg | Dentist | 145 Phillips St, North Kingstown, RI 02852 | 2016-08-01 |
| 1043603913 | Pamela Morelli | Social Worker | 426 Scrabbletown Rd., North Kingstown, RI 02852 | 2015-03-16 |
| 1942691845 | Catherine Cooney | Counselor | 1130 Ten Rod Rd, Ste E305, North Kingstown, RI 02852 | 2015-02-12 |
| 1154753168 | Kenneth N Beaupre | Counselor | 23 Brown St Ste 107, North Kingstown, RI 02852 | 2013-07-31 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| Find all providers in zip 02852 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487683173 | Christie A.w. Rishworth | Nurse Practitioner | 308 Callahan Rd, North Kingstown, RI 02852-7739 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048250 | Samira Ouklilane | Nurse Practitioner | 5 Frederick St, North Providence, RI 02904-4318 | 2020-09-16 |
| 1164040069 | Taylor Health Enterprises | Nurse Practitioner | 400 Warren Ave Ste 2l-a, East Providence, RI 02914-3826 | 2020-07-08 |
| 1598382384 | Crystal Colleen Bell | Nurse Practitioner | 170 Lockwood St, West Warwick, RI 02893-7621 | 2020-06-29 |
| 1043839848 | Christine Terhune | Nurse Practitioner | 16 Grotto Ave Apt 4, Providence, RI 02906-5523 | 2020-04-11 |
| 1467086348 | Julia Bowen | Nurse Practitioner | 475 Kilvert St # 2, Warwick, RI 02886-1379 | 2020-02-28 |
| 1063059244 | Pvd Cares Wellness Center LLC | Nurse Practitioner | 126 Prospect St Ste 105, Pawtucket, RI 02860-4429 | 2019-12-05 |
| 1326513987 | Ruth Tirado Joseph | Nurse Practitioner | 4755 Kilvert Street, Warwick, RI 02886-1379 | 2018-10-10 |
| 1962902742 | M. Kelly Kelly Murphy | Nurse Practitioner | 100 Van Zandt Ave, Newport, RI 02840-1650 | 2018-02-18 |
| 1346691631 | Lindsay Elizabeth Leddy | Nurse Practitioner | 2870 Post Rd, Warwick, RI 02886-3169 | 2016-06-28 |
| 1740637388 | Glenda Gagante | Nurse Practitioner | 103 Beacon St, Middletown, RI 02842-4805 | 2016-05-23 |
| Find all providers with the same taxonomy | ||||
| City | NORTH KINGSTOWN |
| Zip Code | 02852 |
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| 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.