Wellnorth Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WELLNORTH MEDICAL LLC

Practice address

1630 Mineral Spring Ave
2
North Providence, RI 02904-4025

Phone

(401) 438-1010

NPI assigned

Jun 18, 2007

Last updated

Dec 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Javid Calcatti, MDNPI 1386722700

Title

Director

Phone

(401) 438-1010

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Javid A Calcatti, MD

  • Internal Medicine Physician
  • North Providence, RI
  • NPI 1386722700
  Medicare reassignment Care Compare group NPD Authorized official
• Lissa Pierre, FNP-C

  • Family Nurse Practitioner
  • North Providence, RI
  • NPI 1346013661
  Medicare reassignment Care Compare group NPD
• Rayra K Coelho, APRN

  • Family Nurse Practitioner
  • North Providence, RI
  • NPI 1194615161
  NPD
• Thomas A. Couturier, NP

  • Family Nurse Practitioner
  • North Providence, RI
  • NPI 1316378938
  NPD

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1568667848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MINERAL SPRING AVE",
            "address_2": "2",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044043",
            "telephone_number": "401-438-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MINERAL SPRING AVE",
            "address_2": "2",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044025",
            "telephone_number": "401-438-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNORTH MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "CALCATTI",
        "authorized_official_first_name": "JAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-438-1010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "CP408256",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Waters, M.D.
• Kelsey Watson, DMD
• Jennifer L Weaver-Breitenbecher, LMHC
• Lauren Weil, DPT, OCS
• Wellness Resolutions, LLC
• Alison Whitty
• Modupe O Williams, NP-BC
• Morgan Elizabeth Wilson
• Alexandra Lynn Winnes, PT, DPT
• Margot Carolyn Wolf, PHARMD

• Primary Care Clinic/Center in North Providence, RI
• Providers in North Providence, RI by specialty
• Primary Care Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.