PAMELA M BRISSETTE (NPI# 1972570182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972570182 |
| Entity Type | Individual |
| Full Name | PAMELA M BRISSETTE |
| Credential | PA-C |
| Practice Address |
164 Summit Ave # C70 Providence RI 02906-2853 |
| Mailing Address |
Po Box 16149 Rumford RI 02916-0697 |
| Practice Telephone | 4017934545 |
| Practice Fax Number | 4017937866 |
| Mailing Telephone | 4014539625 |
| Mailing Fax Number | 4014357069 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00147 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUECHIP | 411429 | 01 |
| RI | BLUE CROSS | 27118-1 | 01 |
| Street Address |
164 SUMMIT AVE # C70 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457328221 | Richard A. Hernandez | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2006-03-01 |
| 1568072510 | Anthony Henriques | Nurse Practitioner | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2020-08-05 |
| 1356789549 | Michelle Bernice Ristuccia | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2013-06-10 |
| 1356691430 | Kelvin Nam Doan | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2012-09-14 |
| 1467783357 | Karen M Doyle | Nurse Practitioner | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2010-01-18 |
| 1174586671 | Phathsady Louangxay | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962962589 | Delaney Horsley | Physician Assistant | 472 W Fountain St Apt 1, Providence, RI 02903-3570 | 2019-03-20 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1548204399 | Jeannette Mary Doyle-gay | Physician Assistant | 164 Summitt Ave, Room C70, The Miriam Hospital, Providence, RI 02906 | 2006-06-15 |
| 1790744381 | Ian Paul Krouson | Physician Assistant | 1195 N Main St, Providence, RI 02904-1824 | 2006-03-22 |
| 1457328221 | Richard A. Hernandez | Physician Assistant | 164 Summit Ave # C70, Providence, RI 02906-2853 | 2006-03-01 |
| 1801889787 | Paul Mallari | Physician Assistant | 49 Seekonk St, Suite 3, Providence, RI 02906-5176 | 2005-08-25 |
| 1558369512 | Josephine Salhab | Physician Assistant | 164 Summit Ave, Rm C70, Providence, RI 02906-2853 | 2005-07-13 |
| 1528065430 | Sandra M Jamieson | Physician Assistant | 593 Eddy Street, Grad Dorms, Providence, RI 02903 | 2005-07-07 |
| 1518962034 | Patricia A Trafford | Physician Assistant | 790 N Main St, Providence, RI 02904-5706 | 2005-06-21 |
| 1336144856 | Arya Biswas | Physician Assistant | 280 Melrose St, Providence, RI 02907-2152 | 2005-06-21 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on PAMELA M BRISSETTE.
| 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.