| Loreen R Kennedy, NP | |
|
593 Eddy St, Claverick 2, Providence, RI 02903-4923 | |
| (401) 519-1604 | |
| (401) 272-0538 |
| Full Name | Loreen R Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 593 Eddy St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093783656 | NPI | - | NPPES |
| 0070583782 | Other | RI | RI MEDICARE |
| 05-12-2011 | Other | RI | NHPRI |
| 7057754 | Medicaid | RI | |
| 03012011 | Other | RI | UNITED HEALTHCARE |
| 03032011 | Other | RI | BCBSRI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NPP37243 (Rhode Island) | Secondary |
| 363L00000X | Nurse Practitioner | APRN00316 (Rhode Island) | Primary |
| Entity Name | Brown Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962455022 PECOS PAC ID: 7214833169 Enrollment ID: O20040116000868 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Entity Name | Ocean State Urgent Care Center Of Cumberland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275971400 PECOS PAC ID: 0941442495 Enrollment ID: O20130813000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Loreen R Kennedy, NP Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2500 | Loreen R Kennedy, NP 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 519-1604 |
Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902 | |
Nnemeka A Okpala, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Dorrance St Ste 700, Providence, RI 02903 Phone: 617-419-0482 | |
Phina A Mayu, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290 | |
Beverly Casinelli, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150 | |
Kristen Ann Chapian, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St Ste 302, Providence, RI 02904 Phone: 401-793-5708 Fax: 401-793-5171 | |
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011 | |
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571 |