CAMILLE M MOONSAMMY (NPI# 1639540826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639540826 |
| Entity Type | Individual |
| Full Name | CAMILLE M MOONSAMMY |
| Credential | NURSE PRACTITIONER |
| Practice Address |
469 Centerville Rd Warwick RI 02886-4354 |
| Practice Telephone | 4018214100 |
| Practice Fax Number | 4018239180 |
| Mailing Telephone | 4018214100 |
| Mailing Fax Number | 4018239180 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN01546 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
469 CENTERVILLE RD |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233824 | Radiology Associates Inc | Radiology | 469 Centerville Rd, Suite 103, Warwick, RI 02886-4354 | 2005-05-27 |
| 1558852343 | Katherine Andrews | Counselor | 469 Centerville Rd, Warwick, RI 02886-4354 | 2018-05-29 |
| 1255872206 | Brightside Behavioral Health, LLC | Counselor | 469 Centerville Rd, Suite 101, Warwick, RI 02886-4354 | 2017-03-10 |
| 1871041491 | Centerville Podiatry LLC | Podiatrist | 469 Centerville Rd, Ste 105, Warwick, RI 02886-4354 | 2016-09-12 |
| 1639447899 | Kazuya Kurokawa | Pharmacist | 469 Centerville Rd, #106, Warwick, RI 02886-4354 | 2011-12-02 |
| 1396028197 | Ritesh Amitkumar Shah | Pharmacist | 469 Centerville Rd, Suite 106, Warwick, RI 02886-4354 | 2011-09-28 |
| 1396028478 | Gaetano B Piccirillo Jr. | Pharmacist | 469 Centerville Rd, Suite# 106, Warwick, RI 02886-4354 | 2011-09-24 |
| 1477883825 | New England Medical Office | Pediatrics | 469 Centerville Rd, Suite 102, Warwick, RI 02886-4354 | 2010-01-07 |
| 1568611481 | John T. Coletti,dds,ltd | Dentist | 469 Centerville Rd, Suite 107, Warwick, RI 02886-4354 | 2008-09-16 |
| 1831372143 | Inmed Diagnostic Services of Ri, LLC | Clinic/Center | 469 Centerville Rd, Suite 103, Warwick, RI 02886-4354 | 2007-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694445 | Sheri Lynn Sklarz | Specialist | 300 Quaker Lane, Miracle Ear Suite C15, Warwick, RI 02886 | 2020-03-23 |
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1255813291 | Samantha Pena Moore | Behavioral Analyst | 3446 Post Road, Warwick, RI 02886 | 2018-09-06 |
| 1912496209 | Martin Jude Cotti | Internal Medicine | 455 Toll Gate Rd., Warwick, RI 02886 | 2018-05-02 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1538687520 | David A. Bennett | Registered Nurse | 2756 Post Road, Warwick, RI 02886 | 2017-08-30 |
| 1427585223 | Brittany Teixeira | Counselor | 85 Earl Street, Warwick, RI 02886 | 2017-05-11 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1104221738 | Wilfredo L Sancianco Dmd Inc | Preferred Provider Organization | 3411 W Shiore Rd, Warwick, RI 02886 | 2014-10-24 |
| 1831508662 | Matthew Bryant Mitchell | Physical Therapist | 400 Bald Hill Rd #511, Warwick, RI 02886 | 2014-08-06 |
| Find all providers in zip 02886 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1316497225 | Katharine Baldwin | Nurse Practitioner | 7 Horse Hill Ln, Warwick, NY 10990-2665 | 2016-10-04 |
| 1790836682 | Donna Zaken | Nurse Practitioner | 100 Cascade Rd, Warwick, NY 10990-3865 | 2007-01-16 |
| 1508817545 | Wanda K Pothier | Nurse Practitioner | 300 Quaker Ln # C2-4, Warwick, RI 02886-0159 | 2006-05-15 |
| 1467002097 | Dillon Jackson Madrigal | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-09-16 |
| 1346748043 | Courtney Lynn Thibeault | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886 | 2018-01-28 |
| 1922525237 | Scott A. Clement | Nurse Practitioner | 400 Bald Hill Rd Ste 511, Warwick, RI 02886-6100 | 2017-08-28 |
| 1578935649 | Micheal James Ray | Nurse Practitioner | 400 Bald Hill Rd, Warwick, RI 02886-1617 | 2015-10-28 |
| 1356622120 | Samara Deva Russell | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2011-09-07 |
| 1871892042 | Karen Marie Deluca | Nurse Practitioner | 455 Toll Gate Rd, Warwick, RI 02886-2759 | 2011-03-26 |
| Find all providers in WARWICK | ||||
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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.