DEBORAH MCKENNA (NPI# 1639665789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639665789 |
| Entity Type | Individual |
| Full Name | DEBORAH MCKENNA |
| Credential | DNP, AGPCNP-BC |
| Practice Address |
475 Kilvert St Warwick RI 02886-1379 |
| Practice Telephone | 4017376900 |
| Practice Fax Number | 4017377398 |
| Mailing Telephone | 4017376900 |
| Mailing Fax Number | 4017377398 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN01844 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | RI APRN LICENSE | APRN01844 | 01 |
| RI | CONTROLLED SUBSTANCES ACT REGISTRATION (CSR) - RI | CAPRN01844 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700849619 | Deborah J. Mckenna | Counselor | 7150 N University St, Peoria, IL 61614-1752 | 2006-04-11 |
| Street Address |
475 KILVERT ST |
| City | WARWICK |
| State | RI |
| Zip Code | 02886-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634535 | Patricia Ann Chace | Internal Medicine | 475 Kilvert St, Warwick, RI 02886-1379 | 2005-07-28 |
| 1275168965 | Caitlin Nicole Tazi | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2020-03-03 |
| 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 |
| 1467002097 | Dillon Jackson Madrigal | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-09-16 |
| 1033770342 | Olajumoke Adetunji | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-06-26 |
| 1710546783 | Mark Paul Fontes | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-06-12 |
| 1558924688 | Laila Aziz | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-04-15 |
| 1861975112 | Kimberly Mae Bissell | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2018-09-12 |
| 1477035749 | Kellsey Cormier | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2018-09-04 |
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| 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 | 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 |
|---|---|---|---|---|
| 1467086348 | Julia Bowen | Nurse Practitioner | 475 Kilvert St # 2, Warwick, RI 02886-1379 | 2020-02-28 |
| 1326513987 | Ruth Tirado Joseph | Nurse Practitioner | 4755 Kilvert Street, Warwick, RI 02886-1379 | 2018-10-10 |
| 1346691631 | Lindsay Elizabeth Leddy | Nurse Practitioner | 2870 Post Rd, Warwick, RI 02886-3169 | 2016-06-28 |
| 1770632523 | Kathleen Parker | Nurse Practitioner | 176 Toll Gate Rd Ste 103, Warwick, RI 02886-4479 | 2007-01-10 |
| 1952460636 | Heather K Glenn | Nurse Practitioner | 400 Bald Hill Rd Ste 520, Warwick, RI 02886-1692 | 2006-12-08 |
| 1073555645 | Dawn M Cater | Nurse Practitioner | 1139 Main Ave, Genesis Health Care Greenwood Center, Warwick, RI 02886-1940 | 2006-06-11 |
| 1942282504 | Elizabeth Grace Dyer | Nurse Practitioner | 250 E Centreville Rd, Warwick Executive Park, Warwick, RI 02886 | 2005-11-18 |
| 1104450881 | Jennifer Allen | Nurse Practitioner | 1444 Warwick Ave, Warwick, RI 02888-5026 | 2020-03-03 |
| 1295389161 | Jennifer Ashley Pinto | Nurse Practitioner | 227 Centerville Rd, Warwick, RI 02886-4394 | 2019-07-30 |
| 1710546783 | Mark Paul Fontes | Nurse Practitioner | 475 Kilvert St, Warwick, RI 02886-1379 | 2019-06-12 |
| 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.