Dale Sumilang

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN02624 Issued in RI

Practice address

111 Chestnut St
Providence, RI 02903-4169

Phone

(401) 262-9964

NPI assigned

Sep 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
• Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dale.sumilang.1@9000.direct.athenahealth.com

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.

• Prospect Chartercare Physicians, LLC

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1629493135

  RI

  Medicare reassignment Care Compare group NPD
• Chartercare Physicians, LLC

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1235945650

  RI

  Medicare reassignment NPD
• Medicine and Long Term Care Associates, LLC

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1073539227

  RI

  Medicare reassignment NPD
• Prospect Chartercare Elmhurst, LLC

  • Skilled Nursing Facility
  • Providence, RI
  • NPI 1457776452
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prospect Chartercare RWMC, LLC

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1013332014

  Hospital

  Care Compare affiliation
• Prospect Chartercare Sjhsri, LLC

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1154938744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHESTNUT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034169",
            "telephone_number": "401-262-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHESTNUT ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034169",
            "telephone_number": "401-262-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMILANG",
        "first_name": "DALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN50764",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "RI",
            "license": "APRN02624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Aileen Sullivan, MD
• Rachel R Sullivan
• Shannon Sullivan, LCSW
• Tanya Christine Sullivan, APRN, MSN, CNP
• Vrishali Suman, MD
• Jack Rocco Summa, PHARMD, RPH
• Summit Medical Group
• Summit Ri SNF, LLC
• Felicia Wang Sun, MD, MPHIL
• Kevin Sun, MD

• Acute Care Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Acute Care Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.
• 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.