Active NPI
Holly E Puleo, AU.D.
- Audiologist
- Warwick, RI
National Provider Identifier
1366569600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD127
- Practice address
- 215 Toll Gate Rd
Suite 302
Warwick, RI 02886-4458 - Phone
- (401) 738-9953
- Fax
- (401) 738-7555
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Audiologist
- Warwick, RI
- NPI 1992214217
-
- Audiologist
- Warwick, RI
- NPI 1528115565
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gateway Hearing Solutions, Inc
Practice addresses (Care Compare)
215 Toll Gate Rd
Suite 303
Warwick, RI 02886-4462
Phone (401) 738-9953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180327000177 | RI | Practitioner - Qualified Audiologist | 7113289406 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD127 | RI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Hearing Solutions, Inc | Audiologist | Current | Accepting new patients |
| Robert F. Gould, Inc | Audiologist | Past | Accepting new patients |
Locations
215 Toll Gate Rd
Ste 302
Warwick, RI 02886
Phone (401) 738-9953
215 Toll Gate Rd
Ste 303
Warwick, RI 02886
Phone (401) 738-1576
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD127 | RI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
215 Toll Gate Rd
Suite 302
Warwick, RI 02886-4458
Mailing address
6 Sampson Ave
N Providence, RI 02911-2607
Phone (401) 231-9767
Other identifiers 7
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-00027 | Other | RI | UHPNEWENGLAND |
| 402563 | Other | RI | BLUE CHIP |
| 06210 | Other | RI | NECP |
| 11616402 | Other | RI | AMERICHOICE |
| 2102 | Other | RI | NEIGHBORHOOD HEALTH |
| BH00020 | Medicaid | RI | |
| 24057-0 | Other | RI | BLUE CROSS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2017.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506643200000",
"number": "1366569600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SAMPSON AVE",
"city": "N PROVIDENCE",
"state": "RI",
"postal_code": "029112607",
"telephone_number": "401-231-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 TOLL GATE RD",
"address_2": "SUITE 302",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864458",
"telephone_number": "401-738-9953",
"fax_number": "401-738-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULEO",
"first_name": "HOLLY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2017-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "RI",
"license": "AUD127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHPNEWENGLAND",
"identifier": "45-00027",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "402563",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NECP",
"identifier": "06210",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "11616402",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "2102",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BH00020",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "24057-0",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.