MICHELLE WOOLFREY (NPI# 1922486554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922486554 |
| Entity Type | Individual |
| Full Name | MICHELLE WOOLFREY |
| Credential | NP |
| Practice Address |
450 Veterans Memorial Pkwy Bldg. 6 East Providence RI 02914-5300 |
| Mailing Address |
10 Davol Sq Suite 400 Providence RI 02903-4754 |
| Practice Telephone | 4014355533 |
| Practice Fax Number | 4014312555 |
| Mailing Telephone | 4014214000 |
| Mailing Fax Number | 4012721456 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2016-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN00684 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN00684 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | TAX ID # | 05-0483739 | 01 |
| RI | 1922486554 | 05 | |
| RI | MEDICARE GROUP PTAN | 709004158 | 01 |
| Street Address |
450 VETERANS MEMORIAL PKWY BLDG. 6 |
| City | EAST PROVIDENCE |
| State | RI |
| Zip Code | 02914-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516654 | Radiology Associates Inc | Radiology | 450 Veterans Memorial Pkwy, Building 2, East Providence, RI 02914-5300 | 2005-05-27 |
| 1265066492 | Hannah Eizabeth Masse | Dietitian, Registered | 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300 | 2020-02-26 |
| 1679095608 | Kelly M Pereira | Optometrist | 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300 | 2017-07-11 |
| 1063865368 | Sarah Dorothy Mosley | Dietitian, Registered | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 | 2016-07-21 |
| 1700252988 | Christine Massella | Dietitian, Registered | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 | 2015-08-11 |
| 1992190847 | Margaret Cromwell | Dietitian, Registered | 450 Veterans Memorial Pkwy, 8c, East Providence, RI 02914-5300 | 2015-03-30 |
| 1053704908 | Ann Garris | Nurse Practitioner | 450 Veterans Memorial Pkwy, Bldg. 4, East Providence, RI 02914-5300 | 2015-03-16 |
| 1760888234 | Kristen Lakoma | Dietitian, Registered | 450 Veterans Memorial Pkwy, Suite 8c, East Providence, RI 02914-5300 | 2014-11-11 |
| 1689078966 | Sarah Arpino | Dietitian, Registered | 450 Veterans Memorial Pkwy, Suite 8c, East Providence, RI 02914-5300 | 2014-10-15 |
| 1700291374 | S Deborah Murphy Md LLC | Ophthalmology | 450 Veterans Memorial Pkwy, Suite 504, East Providence, RI 02914-5300 | 2014-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457988198 | Sean C. Duffy | Massage Therapist | 231 Warren Ave., East Providence, RI 02914 | 2020-03-24 |
| 1457905606 | Jeanine Le-kreuzer, Lmhc | Clinic/Center | 3421 Pawtucket Ave, East Providence, RI 02914 | 2019-07-26 |
| 1881113983 | Megan Grace Fitzpatrick | Student in an Organized Health Care Education/Training Program | 51 Milburn Rd, East Providence, RI 02914 | 2017-09-11 |
| 1265719660 | Hilary Elise Bicknell | Physical Therapist | 927 B Warren Ave, East Providence, RI 02914 | 2011-11-14 |
| 1346549037 | Amanda M Hope | Occupational Therapist | 2680 Pawtucket Ave, East Providence, RI 02914 | 2011-03-21 |
| 1780993824 | Shannon Hayes | Physical Therapist | 400 Massaoit Ave, East Providence, RI 02914 | 2010-10-06 |
| 1053623538 | Ricardo Rafael Correa Marquez | Internal Medicine | 900 Warren Avenue, Suite 300, East Providence, RI 02914 | 2010-07-13 |
| 1013231570 | Michael Seidler | Internal Medicine | 20 Catamore Blvd., East Providence, RI 02914 | 2010-03-26 |
| 1053543405 | Ray Rezania | Dentist | 1055 South Broadway, East Providence, RI 02914 | 2009-08-19 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| Find all providers in zip 02914 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225543754 | Ocean State Primary Care Center of East Providence Inc | Nurse Practitioner | 450 Veterans Memorial Pkwy Unit 15b, East Providence, RI 02914-5300 | 2017-12-06 |
| 1568843126 | Donna Marie Kaba | Nurse Practitioner | 1 Evergreen Dr, East Providence, RI 02914-1506 | 2015-06-09 |
| 1588952253 | Kimberly Jean Kane | Nurse Practitioner | 900 Warren Ave, Suite 301, East Providence, RI 02914-1430 | 2011-07-15 |
| 1023330362 | Karen Kawa | Nurse Practitioner | 900 Warren Ave Ste 400, East Providence, RI 02914-1430 | 2010-02-26 |
| 1073500591 | Barbara Burchard | Nurse Practitioner | 900 Warren Ave, Suite 400, East Providence, RI 02914-1430 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627476 | Kimberly Jill Enos | Nurse Practitioner | 825 Chalkstone Ave # Prior207, Providence, RI 02908-4728 | 2020-10-19 |
| 1689290751 | Afya Services LLC | Nurse Practitioner | 61 Leah St, Providence, RI 02908-5130 | 2020-06-24 |
| 1275159501 | Valerie Marie Almeida Monroe | Nurse Practitioner | 60 Valley St Ste 104, Providence, RI 02909-7418 | 2020-06-23 |
| 1447764261 | Cynthia A Lessard | Nurse Practitioner | 15 Health Lane, Warwick, RI 02886 | 2017-12-01 |
| 1326557521 | Diana Suk Wah Lam | Nurse Practitioner | 34 S Bennett Dr, Johnston, RI 02919-6323 | 2017-09-20 |
| 1841695988 | Gail Maureen Mosher | Nurse Practitioner | 62 Friendship St, Newport, RI 02840-2251 | 2014-10-31 |
| 1104134113 | Joann M Moore | Nurse Practitioner | 1681 Cranston St Ste D, Cranston, RI 02920-5000 | 2010-09-24 |
| 1568555183 | Silver Spring Health Care Management, Inc. | Nurse Practitioner | 3461 South County Trail, East Greenwich, RI 02818-3999 | 2006-10-02 |
| 1104855386 | Kathy J Cookson | Nurse Practitioner | 255 Promenade St, Apt. 348, Providence, RI 02908-5746 | 2006-07-01 |
| 1164474813 | Michelle Lynn Rowe | Nurse Practitioner | 150 Chestnut St, Providence, RI 02903-4645 | 2006-05-17 |
| Find all providers with the same taxonomy | ||||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
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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.