Nunnery Orthotic & Prosthetic

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CPO0004 Issued in RI

Legal business name

NUNNERY ORTHOTIC & PROSTHETIC

Practice address

7408 Post Rd
North Kingstown, RI 02852-3217

Phone

(401) 294-4210

Fax

(401) 294-3104

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Michael J. Nunnery, CPONPI 1316944010

Title

Owner/Orthotist Prosthetist

Phone

(401) 294-4210

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Michael J Nunnery, CPO

  • Prosthetics Case Management
  • North Kingstown, RI
  • NPI 1316944010
  NPD (past) Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1093736274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 POST RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523217",
            "telephone_number": "401-294-4210",
            "fax_number": "401-294-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7408 POST RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523217",
            "telephone_number": "401-294-4210",
            "fax_number": "401-294-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUNNERY ORTHOTIC & PROSTHETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "NUNNERY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/ORTHOTIST PROSTHETIST",
        "authorized_official_telephone_number": "401-294-4210",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "RI",
            "license": "CPO0004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "22514-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "401254",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5580001",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Noonan
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• Patricia Sweeney Northrup, B.S., OTR/L
• Michael J Nunnery, CPO
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• Kyra O'Connell, PHARMD
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• Prosthetic/Orthotic Supplier in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Prosthetic/Orthotic Supplier in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.