MRS. LEA RENE KELLY (NPI# 1790295285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790295285 |
| Entity Type | Individual |
| Full Name | MRS. LEA RENE KELLY |
| Credential | NP-C |
| Practice Address |
33 Staniford St Providence RI 02905-3105 |
| Practice Telephone | 4014218800 |
| Mailing Telephone | 4014218800 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN01693 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
33 STANIFORD ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085657 | Bayside Endoscopy Center, LLC | Clinic/Center | 33 Staniford St, Providence, RI 02905-3105 | 2005-07-07 |
| 1679976187 | Bridget Boyle Fitzgibbon | Nurse Practitioner | 33 Staniford St, Providence, RI 02905-3105 | 2014-09-29 |
| 1386952612 | University Gastroenterology, LLC | Pathology | 33 Staniford St, Providence, RI 02905 | 2010-09-21 |
| 1306079843 | Leslie Cashel Md Inc | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2009-09-01 |
| 1679711519 | William T. Chen Medical, Inc. | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2009-01-30 |
| 1104064047 | Leslie Cashel M.d., Inc. | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2009-01-30 |
| 1215175351 | Eric Newton Md LLC | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2009-01-28 |
| 1437324530 | Edward A. Pensa Medical Inc. | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2008-04-29 |
| 1952430019 | Eric B. Newton | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2007-03-05 |
| 1174694459 | Daniel Quirk, Md, Inc. | Internal Medicine | 33 Staniford St, Providence, RI 02905-3105 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| 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 |
|---|---|---|---|---|
| 1043839848 | Christine Terhune | Nurse Practitioner | 16 Grotto Ave Apt 4, Providence, RI 02906-5523 | 2020-04-11 |
| 1841502804 | Diane Jean Smith | Nurse Practitioner | 280 Melrose St., Name: Concentra, Providence, RI 02901 | 2010-07-07 |
| 1033209895 | Stacy Ramsey | Nurse Practitioner | 111 Point Street, Providence, RI 02940-1142 | 2006-10-13 |
| 1003821869 | Jennifer R Ouellette | Nurse Practitioner | Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 | 2006-07-30 |
| 1619981529 | June M Fischer | Nurse Practitioner | 595 Eddy Street, Providence, RI 02901 | 2006-07-28 |
| 1154365054 | Cynthia J Buckley | Nurse Practitioner | Providence College Student Health Services, 549 River Ave, Providence, RI 02918-0001 | 2006-06-15 |
| 1902877178 | Christine B Butler | Nurse Practitioner | 845 N Main St, Suite 1, Providence, RI 02904-5700 | 2006-01-27 |
| 1447221668 | Jacqueline M Joubert | Nurse Practitioner | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2006-01-27 |
| 1578552030 | Elaine A Forbes | Nurse Practitioner | 9 Pleasant St, Medicine Associates, Providence, RI 02906 | 2005-10-18 |
| 1649267345 | Elizabeth Canino | Nurse Practitioner | 225 Chapman St, Providence, RI 02905-4533 | 2005-09-29 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.