EDYTA REIS (NPI# 1790279719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN54971 | RI | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GATEWAY | 1821078932 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
101-103 Bacon Street, Pawtucket, RI 02860 | 4017223560 | 4017225280 |
Street Address |
101-103 BACON STREET |
City | PAWTUCKET |
State | RI |
Zip Code | 02860 |
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 |
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 Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
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 |
Please comment or provide details below to improve the information on EDYTA REIS.
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.