JENNIFER S CELLAR


Address: 1085 N Main St, Providence, RI 02904
Phone: 4014154618

JENNIFER S CELLAR (NPI# 1598953010) 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) 1598953010
Entity Type Individual
Full Name JENNIFER S CELLAR
Credential MSN, APRN, CNP
Practice Address 1085 N Main St
Providence
RI 02904
Mailing Address 1085 N Main St
Providence
RI 02904-5719
Practice Telephone 4014154618
Practice Fax Number 4014154348
Mailing Telephone 4014154618
Mailing Fax Number 4014154348
Enumeration Date 2007-10-10
Last Update Date 2019-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner APRN00039 RI Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
APRN00039 RI Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
254037 RI Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
APRN00039 RI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1180 Hope St, Bristol, RI 028091126 4012537890 4012533131

Office Location

Street Address 1085 N MAIN ST
City PROVIDENCE
State RI
Zip Code 02904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629020524 Mercedes Pacheco Internal Medicine 1085 N Main St, Providence, RI 02904-5719 2006-05-17
1285195917 Brian Berger Social Worker 1085 N Main St, Providence, RI 02904-5719 2019-03-26
1992263529 Alicia Patalano Nurse Practitioner 1085 N Main St, Providence, RI 02904-5719 2019-03-02
1902380140 Joan L Joseph Social Worker 1085 N Main St, Providence, RI 02904-5719 2018-09-24
1548787260 Sandra Maria Perrotta Nurse Practitioner 1085 N Main St, Providence, RI 02904-5719 2017-08-23
1083085575 Audra A Noonan Nurse Practitioner 1085 N Main St, Providence, RI 02904-5719 2015-10-09
1417335423 Leah Jean Mcdonald Emergency Medicine 1085 N Main St, Providence, RI 02904-5719 2015-05-11
1295121176 Carolyn Murphy Family Medicine 1085 N Main St, Providence, RI 02904-5719 2015-04-08
1588076228 Jennifer Zuar Internal Medicine 1085 N Main St, Providence, RI 02904-5719 2014-05-29
1356789788 Mary Clare Bergen Nurse Practitioner 1085 N Main St, Providence, RI 02904 2013-06-07
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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 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588196133 Elisabeth Marie Butler Nurse Practitioner 114 Swift St, Providence, RI 02904-1437 2017-04-03
1366842346 Yetunde Oluwatoyin Shittu Nurse Practitioner 830 Chalkstone Ave, Providence, RI 02908-4734 2014-08-27
1316178676 Annette L Kelleher Nurse Practitioner 50 Maude St, Providence, RI 02908-4325 2009-08-05
1962573204 Cheryl A Fitzgerald Nurse Practitioner 50 Maude St, Elmhurst Extended Care Facilities, Inc., Providence, RI 02908-4325 2006-11-10
1720165582 Barbara Duffy Evans Nurse Practitioner 1085 N Main St, Providence, RI 02904-5719 2006-11-01
1356454250 Nancy Ellen Crandall Nurse Practitioner 2 Dudley St, Suite 470, Providence, RI 02905-3236 2006-08-16
1922013788 Paul J Simkowski Nurse Practitioner 830 Chalkstone Ave, Providence, RI 02908-4734 2006-07-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285261339 Saina Cadet Nurse Practitioner 3 Loring Ln, North Providence, RI 02904-3011 2020-03-26
1215482831 Cynthia Ruggiero Nurse Practitioner 222 Jefferson Blvd Ste 200, Warwick, RI 02888-3855 2016-08-24
1467712661 Joan Theresa Walton Nurse Practitioner 34 Wilton Ave, Pawtucket, RI 02861-2916 2012-05-22
1881902096 Diane Marie Costa Nurse Practitioner 42 Basswood Dr, Bristol, RI 02809-4912 2010-09-22
1053590224 Christine Marie Hall Nurse Practitioner 155 Wickford Point Rd, North Kingstown, RI 02852-4049 2007-10-24
1194774943 Genesis Elder Care Physician Services LLC Nurse Practitioner 660 Commonwealth Avenue, Warwick, RI 02886-2707 2006-05-09
1295369452 Mary Ann Caouette Nurse Practitioner 475 Kilvert St, Warwick, RI 02886-1379 2020-02-26
1679104236 Jamie Lee Delacruz Nurse Practitioner 475 Kilvert St, Warwick, RI 02886-1379 2020-01-31
1649838400 Colin Brian Burns Nurse Practitioner 25 Wells St, Westerly, RI 02891-2922 2019-06-05
1477035749 Kellsey Cormier Nurse Practitioner 475 Kilvert St, Warwick, RI 02886-1379 2018-09-04
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Competitor

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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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