Lisa Bonin (NPI# 1407962434, PAC ID# 2668422858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1407962434 |
| PAC ID by PECOS | 2668422858 |
| Professional Enrollment ID | I20060403000133 |
| Full Name | Lisa Bonin |
| Organization Legal Name | THE MIRIAM HOSPITAL |
| Address |
950 Warren Ave Fl 2 East Providence RI 02914-1432 |
| Phone Number | 4016061004 |
| Gender | F |
| Credential | NP |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901796408 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410007 | RHODE ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 | 4016061004 | THE MIRIAM HOSPITAL |
| Organization Legal Name | THE MIRIAM HOSPITAL |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michaela Ann Maynard | Nurse Practitioner | The Miriam Hospital | 1125 N Main St, Providence, RI 02904-5739 |
| Melanie A Hill | Nurse Practitioner | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Laura J Henseler | Family Medicine | The Miriam Hospital | 1377 S County Trl, Unit 1, East Greenwich, RI 02818-5106 |
| Rebecca E Soinski | Internal Medicine | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Lisa J Goldstein | Pathology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Sleiman El Jamal | Neurology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Kathy A Rebeiro | Nurse Practitioner | The Miriam Hospital | 146 W River St, Fl 3, Providence, RI 02904-2609 |
| Martin M Miner | Hematology/oncology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Ricky D Grisson Ii | Pathology | The Miriam Hospital | 164 Summit Ave, Providence, RI 02906-2853 |
| Street Address |
950 WARREN AVE FL 2 |
| City | EAST PROVIDENCE |
| State | RI |
| Zip | 02914-1432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kalina M Brabeck | Psychologist, Clinical | Lifespan Physician Group Inc | 950 Warren Ave, Suite 104, East Providence, RI 02914-1432 |
| Steven Lampert | Cardiovascular Disease (cardiology) | The Miriam Hospital | 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 |
| Sherrye L Durante | Nurse Practitioner | The Miriam Hospital | 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 |
| Shannon Simmons | Gastroenterology | Lifespan Physician Group Inc | 950 Warren Ave, Suite 302, East Providence, RI 02914-1432 |
| Eunice H Wharton | Clinical Social Worker | Lifespan Physician Group Inc | 950 Warren Ave, Suite 104, East Providence, RI 02914-1432 |
| Kachiu C Lee | Dermatology | Lifespan Physician Group, Inc. | 950 Warren Ave, Suite 302, East Providence, RI 02914-1432 |
| Aaron M Drucker | Dermatology | Lifespan Physician Group, Inc. | 950 Warren Ave, East Providence, RI 02914-1432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Geist | Diagnostic Radiology | Rhode Island Medical Imaging | 20 Catamore Blvd, E Providence, RI 02914-1204 |
| Miranda R Wing | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Elisabeth M Butler | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Donna Zaken | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Judith S Bessoff | Nurse Practitioner | Avenir Ventures LLC | 1 Catamore Blvd, East Providence, RI 02914-1228 |
| Marta E Rosol | Clinical Social Worker | 1018 Waterman Ave, East Providence, RI 02914-1318 | |
| Constantine Vafidis | Family Medicine | Primary Medical Center and Walk-in LLC | 684 Warren Ave, East Providence, RI 02914-1405 |
| Martha Ragsdale | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Sterling Saint | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Jacqueline Finn | Physical Therapy | Healy Physical Therapy and Sports Medicine Inc | 927 B Warren Ave, East Providence, RI 02914-1423 |
| Find all physicians in zip 02914 | |||
| City | EAST PROVIDENCE |
| Zip Code | 02914 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EAST PROVIDENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa Bonin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.