Mariko Tansey Neveu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00942 Issued in RI

Practice address

60 Bay Spring Ave
Barrington, RI 02806-1384

Phone

(401) 246-1300

Fax

(401) 289-2582

NPI assigned

Oct 5, 2007

Last updated

May 8, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mariko Tansey Holbrook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barrington Family Medicine

  • Family Medicine Physician
  • Barrington, RI
  • NPI 1306035779
  NPD
• Epoch Family Medicine, LLC

  • Family Medicine Physician
  • Barrington, RI
  • NPI 1467709014
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1356539266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BAY SPRING AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061384",
            "telephone_number": "401-246-1300",
            "fax_number": "401-289-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BAY SPRING AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061384",
            "telephone_number": "401-246-1300",
            "fax_number": "401-289-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVEU",
        "first_name": "MARIKO",
        "middle_name": "TANSEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00942",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA2412",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "08137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIKO",
            "last_name": "HOLBROOK",
            "middle_name": "TANSEY",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nancy Harris, Licsw, LLC
• Nene, LLC (Nene Psychology)
• Patricia Nero, LIMHC
• Nexumhc Ri
• Lise O'Brien, LICSW
• Ocean State Community Resources, Inc.
• Ocean State Community Resources, Inc.
• Ocean State Urgent Care Center of Barrington, LLC

• Physician Assistant in Barrington, RI
• Providers in Barrington, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.