Wakefield Pediatrics, LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

WAKEFIELD PEDIATRICS, LLC

Practice address

46 Holley St
Suite 2
Wakefield, RI 02879-3325

Phone

(401) 783-8008

Fax

(401) 783-8156

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lauren C. Noel, M.D.

Title

LLC Member

Phone

(401) 783-8008

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather A Dibiasio, M.D.

  • Pediatric Adolescent Medicine Physician
  • Wakefield, RI
  • NPI 1639135783
  NPD (past)
• Cheryl A Trager, PA-C

  • Medical Physician Assistant
  • Smithfield, RI
  • NPI 1003873001
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013015791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HOLLEY ST",
            "address_2": "SUITE 2",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793325",
            "telephone_number": "401-783-8008",
            "fax_number": "401-783-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 HOLLEY ST",
            "address_2": "SUITE 2",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793325",
            "telephone_number": "401-783-8008",
            "fax_number": "401-783-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFIELD PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "401-783-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Smith Vinhateiro, RN, IBCLC
• Lauren Violette
• Bethany Virgilio, LICSW
• Jill Volk, D.O.
• Albert Fredrick Vye Jr., PHARM D
• Wakefield Prescription Center,Inc
• Walgreen Co
• Kyle Wardle, RN
• Pamela Gail Watson, LICSW
• Sara E Watson, M.D.

• Pediatric Adolescent Medicine Physician in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Pediatric Adolescent Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.