Individual provider Active NPI

Holly E Puleo, AU.D.

  • Audiologist
  • Warwick, RI
National Provider Identifier
1366569600
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD127 Issued in RI
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.

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 2 clinicians

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 IDStateProvider typePAC IDDetails
I20180327000177 RI Practitioner - Qualified Audiologist 7113289406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD127RIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Hearing Solutions, Inc Audiologist CurrentSince Mar 6, 2018 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)CodeLicenseStatePrimary
Audiologist 231H00000X AUD127 RI Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
45-00027OtherRIUHPNEWENGLAND
402563OtherRIBLUE CHIP
06210OtherRINECP
11616402OtherRIAMERICHOICE
2102OtherRINEIGHBORHOOD HEALTH
BH00020MedicaidRI
24057-0OtherRIBLUE 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.

Verify at the official NPI Registry.