EDYTA REIS


Address: 101-103 Bacon Street, Pawtucket, RI 02860
Phone: 4017223560

EDYTA REIS (NPI# 1790279719) 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) 1790279719
Entity Type Individual
Full Name EDYTA REIS
Credential RN
Practice Address 101-103 Bacon Street
Pawtucket
RI 02860
Mailing Address 117 Ellenfield St Ste 101
Providence
RI 02905-4513
Practice Telephone 4017223560
Practice Fax Number 4017225280
Mailing Telephone 4014446779
Mailing Fax Number 4014446912
Enumeration Date 2018-06-22
Last Update Date 2019-08-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1500X Registered Nurse
Specialization: Community Health
RN54971 RI Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GATEWAY 1821078932 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
101-103 Bacon Street, Pawtucket, RI 02860 4017223560 4017225280

Office Location

Street Address 101-103 BACON STREET
City PAWTUCKET
State RI
Zip Code 02860

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689906364 Rute Maria Saraiva Counselor 101-103 Bacon Street, Pawtucket, RI 02860 2010-02-05
1346749744 Barry Anthony Rafanelli II Counselor 101-103 Bacon Street, Pawtucket, RI 02860-5542 2018-02-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972096923 Lmb Medical LLC Internal Medicine 127 School St, Pawtucket, RI 02860 2018-06-13
1215420435 Tyla Jackson Behavior Technician 70 Wood St Apt 22, Pawtucket, RI 02860 2018-06-12
1376048637 Michael A Iadevaia Family Medicine 111 Brewster St Fl 3, Pawtucket, RI 02860 2018-03-28
1730690488 Anthony Edwin Ramicone Physician Assistant 407 East Ave Ste 120, Pawtucket, RI 02860 2017-10-21
1669991352 Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC Clinic/Center 407 East Ave; Suite 110, Pawtucket, RI 02860 2017-09-13
1841716230 Ri Alternative Academy Management, LLC Local Education Agency (LEA) 249 Roosevelt Avenue, Pawtucket, RI 02860 2017-08-17
1396265724 Hannah R Stoops Family Medicine 111 Brewster St Fcc A, Pawtucket, RI 02860 2017-06-27
1427578400 Shaun Michael Flynn Family Medicine 111 Brewster St, Fcc A, Pawtucket, RI 02860 2017-06-21
1073051843 Laura Jane Amaral Counselor 750 East Ave Unit 1e, Pawtucket, RI 02860 2017-02-01
1063862027 Stephanie Shoppell Counselor 105 Bacon Street, Pawtucket, RI 02860 2016-06-20
Find all providers in zip 02860

Taxonomy Information

Taxonomy Code 163WC1500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760608285 Yanery Mabel Garcia-cabral Registered Nurse 908 Eddy St, Providence, RI 02905-4731 2007-04-17
1841239563 Patricia M. Seltzer Registered Nurse 3027 W Shore Rd, Warwick, RI 02886-7546 2006-06-06
1952772808 Melanie Massaro Registered Nurse 1443 Hartford Ave, Johnston, RI 02919-3224 2015-10-16
1881858769 Donna Ann Needham Registered Nurse 450 Clinton St, Woonsocket, RI 02895-3207 2008-07-10
1386817377 Mary Claire Roth Registered Nurse 1 River St, Wakefield, RI 02879-3214 2008-04-10
1063601136 Martha Brough Registered Nurse 450 Clinton St, Thundermist Health Center, Woonsocket, RI 02895-3207 2007-10-15

Competitor

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City PAWTUCKET
Zip Code 02860

Improve Information

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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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