MATTHEW P PROVOST (NPI# 1962436519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962436519 |
| Entity Type | Individual |
| Full Name | MATTHEW P PROVOST |
| Credential | MS,CCC-SLP |
| Practice Address |
161 Comstock Pkwy Cranston RI 02921-2002 |
| Practice Telephone | 4014630202 |
| Mailing Telephone | 4014630202 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP00739 | RI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | SS NHPRC | 2058 | 01 |
| RI | SS BCHIP | 411302 | 01 |
| RI | SS UHP | 4600103 | 01 |
| RI | SS BCROSS | 99947 | 01 |
| RI | 9009994 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Jefferson Blvd, Suite I, Warwick, RI 028883846 | 4014630202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831621143 | Matthew Provost | Registered Nurse | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2017-03-28 |
| Street Address |
161 COMSTOCK PKWY |
| City | CRANSTON |
| State | RI |
| Zip Code | 02921-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871009159 | Hmea Dba Techaccess of Ri | Occupational Therapist | 161 Comstock Pkwy, Cranston, RI 02921 | 2017-12-21 |
| 1336511914 | Francesca Facenda | Speech-Language Pathologist | 161 Comstock Pkwy, Cranston, RI 02921-2002 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568490 | Debra A Kirinsky | Technician | 31 Ellen Lane, Cranston, RI 02921 | 2019-10-08 |
| 1447305263 | Cra-mar Corporation | Skilled Nursing Facility | 575 Seven Mile Road, Cranston, RI 02921 | 2007-01-24 |
| 1053370247 | Northeast Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 31 Western Industrial Drive, Cranston, RI 02921 | 2006-03-17 |
| 1952901910 | Stephen Martin Block | Pharmacist | 1776 Plainfield Pike, Cranston, RI 02921 | 2020-10-29 |
| 1689708992 | Gateways To Change, Inc. | Nursing Care | 7 Redbud Ter, Cranston, RI 02921-1012 | 2007-03-16 |
| 1699865154 | Nicole Michelle Iannelli | Counselor | 54 Sycamore Dr, Cranston, RI 02921-1015 | 2006-10-13 |
| 1578689873 | West Bay Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Natick Ave, Cranston, RI 02921-1106 | 2007-03-21 |
| 1205295607 | Kate Dimaio | Occupational Therapist | 533 Phenix Ave, Cranston, RI 02921-1123 | 2016-02-15 |
| 1326547225 | Kelly O'brien | Counselor | 46 Briar Hill Dr, Cranston, RI 02921-1202 | 2018-02-06 |
| 1033453477 | Gladko Ride Transportation | Non-emergency Medical Transport (VAN) | 2060 Phenix Ave, Cranston, RI 02921-1211 | 2012-11-26 |
| Find all providers in zip 02921 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814014 | Eve Spremullo | Speech-Language Pathologist | 59 Brooks St, Cranston, RI 02920-3907 | 2017-11-13 |
| 1235654641 | Community Access Speech Therapist | Speech-Language Pathologist | 2220 Plainfield Pike Ste 5w, Cranston, RI 02921-2001 | 2017-08-07 |
| 1164952487 | Taylor Laurel Dupere | Speech-Language Pathologist | 628 Park Ave Unit 2d, Cranston, RI 02910-2144 | 2017-06-19 |
| 1598214496 | Alexandra Joan Caruso | Speech-Language Pathologist | 445 Scituate Ave, Cranston, RI 02921-1841 | 2016-10-03 |
| 1225494073 | Lia R Flanders | Speech-Language Pathologist | 25 Clarion St, Cranston, RI 02920-3921 | 2016-01-10 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1073906061 | Jessica Romans | Speech-Language Pathologist | 139 Colonial Ave, Cranston, RI 02910-4612 | 2015-03-15 |
| 1124315783 | Carole Ann Asher | Speech-Language Pathologist | 1000 Chapel View Blvd, Suite 202, Cranston, RI 02920-3065 | 2011-07-05 |
| 1760703961 | Sara Judith Russo | Speech-Language Pathologist | 78 Warren Ave, Cranston, RI 02920-1516 | 2010-06-22 |
| 1346561859 | Gail J Robinson-simao | Speech-Language Pathologist | 86 Lake View Rd, Cranston, RI 02920-1762 | 2010-06-18 |
| Find all providers in CRANSTON | ||||
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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.