ALYSSA COOGAN


Address: 102 Valley Rd, Middletown, RI 02842
Phone: 4012391800

ALYSSA COOGAN (NPI# 1801302765) 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) 1801302765
Entity Type Individual
Full Name ALYSSA COOGAN
Credential DCNP
Practice Address 102 Valley Rd
Middletown
RI 02842
Mailing Address 102 Valley Rd
Middletown
RI 02842-5237
Practice Telephone 4012391800
Practice Fax Number 4012391801
Mailing Telephone 4012391800
Mailing Fax Number 4012391801
Enumeration Date 2017-12-14
Last Update Date 2020-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner APRN01736 RI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
RI MEDICAL LICENSE APRN01736 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1524 Atwood Ave Ste 321, Johnston, RI 029193228 4012391800 4012391801
1525 Wampanoag Trl Ste 203, Riverside, RI 029151038 4012391800 4012391801
618 Toll Gate Rd, Warwick, RI 028862717 4012391800 4012391801
67 William S Canning Blvd, Tiverton, RI 028783003 4012391800 4012391801
851 Main St, Warren, RI 028854402 4012391800 4012391801

Office Location

Street Address 102 VALLEY RD
City MIDDLETOWN
State RI
Zip Code 02842

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366547358 Susan M Bordonaro Nurse Practitioner 102 Valley Rd, Middletown, RI 02842-5237 2006-09-14
1730744483 Pamela Gadbaw Nurse Practitioner 102 Valley Rd, Middletown, RI 02842-5237 2019-05-08
1083173421 Amanda N Fredette Physician Assistant 102 Valley Rd, Middletown, RI 02842-5237 2019-03-15
1902363492 Jennifer Ann Fisher Physician Assistant 102 Valley Rd, Middletown, RI 02842-5237 2019-02-21
1649746421 April Bell Brosnan Nurse Practitioner 102 Valley Rd, Middletown, RI 02842-5237 2018-10-18
1699204784 Victoria Lee Comeau Dermatology 102 Valley Rd, Middletown, RI 02842-5237 2017-06-12
1164877486 Rebbecca Shea Physician Assistant 102 Valley Rd, Middletown, RI 02842-5237 2016-04-25
1356753974 Sarah Elizabeth Belden Dermatology 102 Valley Rd, Middletown, RI 02842 2014-06-02
1457783904 Meghan Grafton King Nurse Practitioner 102 Valley Rd, Middletown, RI 02842-5237 2013-08-07
1720328107 Matthew Clifford Willett Dermatology 102 Valley Rd, Middletown, RI 02842 2013-02-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427671478 Shannon M. Pine Counselor E Admiralty Drive, 2, Middletown, RI 02842 2020-05-26
1912425968 Gail Demarco Registered Nurse 127 Johnnycake Hill Road, Middletown, RI 02842 2017-08-30
1790201861 Logan Christopher Menard Specialist/Technologist 4 Orville Drive, Middletown, RI 02842 2017-08-20
1295149714 Jacquelyn Marez Occupational Therapy Assistant 1998 West Main Rd, Middletown, RI 02842 2014-06-12
1144660465 Brittney Lea Barry Audiologist Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 2013-07-01
1912262445 Wendy S Drysdale Student in an Organized Health Care Education/Training Program 372 Purgatory Road, St. George's School, Middletown, RI 02842 2012-07-11
1912294778 Laurie B Phenix Pharmacist 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 2011-06-30
1023278249 Ann Marie Efflandt Speech-Language Pathologist 333 Green Ave, Middletown, RI 02842 2008-06-11
1669631487 Tiffany Bourquin Counselor 575 E Main Rd Unit 4, Middletown, RI 02842 2008-06-06
1104048396 Valley Primary Care Inc Family Medicine 294 Valley Road, Middletown, RI 02842 2007-05-03
Find all providers in zip 02842

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548822000 Janice Blake Nurse Practitioner 400 Saybrook Rd Ste 214, Middletown, CT 06457-4773 2019-07-05
1740637388 Glenda Gagante Nurse Practitioner 103 Beacon St, Middletown, RI 02842-4805 2016-05-23
1538584255 Olympia Rian Perna Nurse Practitioner 1000 Route 35, Suite 200, Middletown, NJ 07748-2606 2014-03-04
1568682581 Valli Cohen Nurse Practitioner 325 High St, Middletown, CT 06459-3232 2007-05-01
1265550842 Barbara Dedman Nurse Practitioner Davison Health Center 327 High St, Middletown, CT 06459-0001 2007-03-26
1366547358 Susan M Bordonaro Nurse Practitioner 102 Valley Rd, Middletown, RI 02842-5237 2006-09-14
1932133881 Karla Kay Telfer Nurse Practitioner 602 N 5th St, Middletown, IN 47356-1008 2006-07-10
1487648812 Barbara Manco Nurse Practitioner Rcwatc, 117 Seward Ave, Suite 12-16, Middletown, NY 10940 2005-08-31
1164428793 Paula May Rutledge Nurse Practitioner 306 E Main St, Middletown, DE 19709-1482 2005-06-28
1336758747 Kate Elizabeth Garvin Nurse Practitioner 1025 W Harrisburg Pike, Middletown, PA 17057-4848 2020-07-31
Find all providers in MIDDLETOWN

Competitor

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City MIDDLETOWN
Zip Code 02842

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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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