Jennifer A Ugbah, CNS

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

PPNS00114 Issued in RI

Practice address

308 Callahan Rd
North Kingstown, RI 02852-7739

Phone

(401) 295-9706

NPI assigned

Sep 19, 2013

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

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

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.

• Northwest Community Health Care

  • Community Health Clinic/Center
  • N. Kingstown, RI
  • NPI 1801951397
  Medicare reassignment NPD
• Northwest Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Scituate, RI
  • NPI 1003362864
  NPD
• Northwest Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Pascoag, RI
  • NPI 1245219070
  NPD
• Gateway Healthcare, Inc

  • Clinical Social Worker
  • Pawtucket, RI
  • NPI 1154351211
  NPD (past)

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1043646128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028590312",
            "telephone_number": "401-567-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CALLAHAN RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028527739",
            "telephone_number": "401-295-9706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Beechwood Ave",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028605402",
            "country_code": "US",
            "telephone_number": "401-722-5573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGBAH",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "RI",
            "license": "PPNS00114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Amie Treloar, LICSW
• Crystal Trevino
• Lia Turchetta-Cooper, LICSW
• Roger M Turkel, DDS
• Karen Anne Tyszkowski, RNCNS
• Andrea Vali, MD
• Heidi J Varrecchione
• Jackalyn Sara Venditto, LICSW
• Brenda Elizabeth Verdi, LICSW
• Michael Peter Vergnani, PSY.D.

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.