Celia Cordeiro, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01382 Issued in RI

Practice address

450 Brook St
Providence, RI 02906-2231

Phone

(401) 863-3953

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brown University of Provedence State of Ri and Prov Plantaio

  • Community/Retail Pharmacy
  • Providence, RI
  • NPI 1629013149
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1003484296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BROOK ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062231",
            "telephone_number": "786-501-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BROOK ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062231",
            "telephone_number": "401-863-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDEIRO",
        "first_name": "CELIA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA01382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Coppola, MA
• Vanessa Corbera
• Krisha Corbo
• Celeste C Corcoran, MD
• Raymond B. Cord III, PA-C
• Hailey Rose Cordeiro
• Michael Cordeiro, MSW LICSW
• Ryan Joseph Cordeiro
• Aydalina Cordova
• Core Speech Therapy, LLC

• Medical Physician Assistant in Providence, RI
• Providers in Providence, RI by specialty
• Medical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.