Providence VA Medical Center

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP00595 Issued in RI

Legal business name

PROVIDENCE VA MEDICAL CENTER

Practice address

830 Chalkstone Ave
Providence, RI 02908-4734

Phone

(401) 273-7100

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Inesa Vinarskaya, M.S.

Title

Speech-Language Pathologist

Phone

(401) 273-7100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174633598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BRISAS CIR",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028184031",
            "telephone_number": "401-885-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084734",
            "telephone_number": "401-273-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINARSKAYA",
        "authorized_official_first_name": "INESA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "401-273-7100",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP00595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Psychotherapy Clinic Inc
• Providence Refractive, L.L.C.
• Providence Surgical Care Group, Incorporated
• Providence Urology, LLC
• Providence VA Medical Center
• Providence VA Medical Center
• Providence Vamc
• Providence Vamc
• Providence Vamc
• Providence Vamc

• Speech-Language Pathologist in Providence, RI
• Providers in Providence, RI by specialty
• Speech-Language Pathologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.