KATHLEEN L. KNOWLTON (NPI# 1629370309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629370309 |
Entity Type | Individual |
Full Name | KATHLEEN L. KNOWLTON |
Credential | RNP |
Practice Address |
725 Reservoir Ave Ste 103 Cranston RI 02910 |
Mailing Address |
725 Reservoir Ave Ste 103 Cranston RI 02910-4551 |
Practice Telephone | 4018294446 |
Practice Fax Number | 4018294434 |
Mailing Telephone | 4018294446 |
Mailing Fax Number | 4018294434 |
Enumeration Date | 2010-12-01 |
Last Update Date | 2019-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN01381 | RI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN01381 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN01381 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
725 Reservoir Ave Ste 103, Cranston, RI 02910 | 4018294446 | 4018294434 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215579271 | Kathleen Knowlton | Physical Therapy Assistant | 62603 Redwood Rd, North Liberty, IN 46554-9743 | 2019-10-11 |
Street Address |
725 RESERVOIR AVE STE 103 |
City | CRANSTON |
State | RI |
Zip Code | 02910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710098249 | Ralph F Santoro | Internal Medicine | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2006-08-31 |
1891336293 | Erica Kristen Ogni | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2019-10-07 |
1215286984 | Emily Diniz | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2012-09-10 |
1184877953 | Tomoko Snyder | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2008-10-24 |
1871645341 | Deirdre Odelia Couture | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2007-01-17 |
1144377755 | Minh Huong Mary Fay | Nurse Practitioner | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2007-01-04 |
1881754281 | Shahzad Khurshid | Internal Medicine | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2006-12-08 |
1760578132 | Richard P Iacobucci | Family Medicine | 725 Reservoir Ave Ste 103, Cranston, RI 02910-4451 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
Find all providers in zip 02910 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639688450 | Olayide R Williams | Nurse Practitioner | 333 Budlong Rd, Cranston, RI 02920 | 2017-09-25 |
1770970790 | Mikaela Andrea Lavallee | Nurse Practitioner | 1681 Cranston St, Cranston, RI 02920-5000 | 2015-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114558244 | Constance Marie Ducharme | Nurse Practitioner | 966 Mineral Spring Ave, North Providence, RI 02904-4933 | 2020-01-28 |
1265080832 | Michael Ellis Stern | Nurse Practitioner | 46 Barnes St, Providence, RI 02906-1502 | 2019-08-27 |
1053896993 | Macrae Medical Associates | Nurse Practitioner | 333 Valley Rd Ste 4, Middletown, RI 02842-7230 | 2018-09-26 |
1578539151 | Cathleen Dee Jaderquist-bassett | Nurse Practitioner | 142a Danielson Pike, Foster, RI 02825-1485 | 2006-02-24 |
1528609690 | Olanrewaju Hakeem Baruwa | Nurse Practitioner | 198 Waterman Ave, East Providence, RI 02914-3523 | 2019-09-30 |
1184182263 | Stephanne Proske | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4799 | 2019-03-07 |
1265911556 | Elana Schwam | Nurse Practitioner | 39 East Ave, Pawtucket, RI 02860-4003 | 2018-08-08 |
1962981357 | Erin Colleen Murphy Bernardo | Nurse Practitioner | 146 W River St, Providence, RI 02904-2609 | 2018-08-07 |
1851848154 | Chelsea Mcgovern | Nurse Practitioner | 712 Broad St, Providence, RI 02907-1465 | 2016-09-02 |
1215304837 | Jessica A Duncan | Nurse Practitioner | 180 Corliss St Ste B, Providence, RI 02904-2602 | 2015-08-31 |
Find all providers with the same taxonomy |
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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.