Tamra Lavoie

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT00417 Issued in RI

Practice address

455 Douglas Ave
Providence, RI 02908-2542

Phone

(401) 553-8600

NPI assigned

Nov 28, 2012

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

Other identifiers 1

Other names 1

• Tamra Lavoie Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1053656280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 GLENWOOD AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605939",
            "telephone_number": "401-724-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 DOUGLAS AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082542",
            "telephone_number": "401-553-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOIE",
        "first_name": "TAMRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "OT00417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DEPARTMENT OF HEALTH",
            "identifier": "OT00417",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMRA",
            "last_name": "LAVOIE",
            "credential": "OTR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Meghan Lavey, LCSW
• Rachel Lavey, APRN-AGNP-C
• Brittany Lavigne
• Jessica Lavoie
• Nancy Lavoie, RD, LDN
• Yelena Lavrishina
• William Law III, MD
• James Lawless, LMHC
• Maxwell A Lawlor, MD
• Lawrence P Bowen MD Inc

• Specialist in Providence, RI
• Providers in Providence, RI by specialty
• Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.