Jonathan Costa Cabral

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN66709 Issued in RI

Practice address

150 Dewey Ave
East Providence, RI 02914-2140

Phone

(401) 663-1983

NPI assigned

Jul 23, 2024

Last updated

Jul 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1174351092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DEWEY AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DEWEY AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142140",
            "telephone_number": "401-663-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "JONATHAN",
        "middle_name": "COSTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN66709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crisolita Dacruz Burgess
• Robin Lynn Burgess, MA
• Paul Burke, DPT
• Suzanne Burns, MD
• Elliott Butcher
• Lisa Ann Cabral
• Michael Caetano
• Bonnie Cahill, PA-C
• Rachael L Caiati, MD
• Katherine Caldwell

• Registered Nurse in East Providence, RI
• Providers in East Providence, RI by specialty
• Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.