COREEN CROGAN (NPI# 1750997128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750997128 |
| Entity Type | Individual |
| Full Name | COREEN CROGAN |
| Practice Address |
34 Huxley Ave Providence RI 02908-2812 |
| Practice Telephone | 4133132340 |
| Mailing Telephone | 4133132340 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | 11726 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | MT02478 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
34 HUXLEY AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522861 | Catherine M Katzberg | Massage Therapist | Santosha Yoga Studio, 275 Reservoir Ave, Providence, RI 02907 | 2019-05-02 |
| 1528570850 | Eliza Williams: Restorative Body Therapies | Massage Therapist | 3 Regency Plaza, Suite 2, Providence, RI 02903 | 2017-10-26 |
| 1144641192 | Jessica Lavoie | Massage Therapist | 1 Meeting St, 3rd Floor, Unit 2, Providence, RI 02903-1214 | 2013-12-18 |
| 1982910816 | Victoria Moutahir | Massage Therapist | 251 Waterman St, Providence, RI 02906-5210 | 2010-08-30 |
| 1952915837 | Stacey Patterson | Massage Therapist | 251 Waterman St, Providence, RI 02906-5235 | 2020-09-08 |
| 1083248629 | Lauren Gallagher | Massage Therapist | 251 Waterman St, Providence, RI 02906-5235 | 2020-02-22 |
| 1467083683 | Cecilia Murgo | Massage Therapist | 251 Waterman St, Providence, RI 02906-5235 | 2020-01-27 |
| 1528699832 | Laura Patterson | Massage Therapist | 251 Waterman St, Providence, RI 02906-5235 | 2020-01-27 |
| 1992335160 | Shannon Case | Massage Therapist | 251 Waterman St, Providence, RI 02906-5235 | 2020-01-16 |
| 1174174551 | Alice Zossou | Massage Therapist | 251 Waterman St, Providence, RI 02906-5235 | 2019-09-26 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
Please comment or provide details below to improve the information on COREEN CROGAN.
| 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.