Rachael Bliss, RN, CDOE
Individual provider Active NPI Diabetes Educator Registered Nurse · Providence, RI
NPI 1205367273 · NPPES record last updated Nov 22, 2024
Key facts
- NPI
- 1205367273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- RN72051 (RI)
- Practice address
- 530 N Main St
Providence, RI 02904-5762 - Phone
- (401) 415-9500
- Fax
- (401) 415-9515
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2313538 | MA | MD | Registered Nurse |
| RN72051 | RI | MD | Diabetes Educator Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2313538 | MA | |
| Diabetes Educator Registered Nurse | 163WD0400X | RN72051 | RI | Yes |
Addresses
Primary practice location
530 N Main St
Providence, RI 02904-5762
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400
Other providers in Providence, RI
- Emily Jean Blefeld
- Timothy Blegen
- Sydney Katherine Blevins
- Bliss Salon Inc, Dba Bliss Medical Hair Replacement Center
- Bliss Salon Inc, Dba Bliss Medical Hair Replacement Center
- Thomas Francis Bliss Jr.
- Stanley H. Block
- Deepa H Blomstedt
- Bradley J Bloom
- Ellis Jeremy Bloom
All providers in Providence, RI · Diabetes Educator Registered Nurse in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.