Susan Anne Cabral, RN
Individual provider Active NPI Community/Behavioral Health Agency · Tiverton, RI
NPI 1619635372 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1619635372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- RN209560 (MA)
- Practice address
- 693 Crandall Rd
Tiverton, RI 02878-2616 - Phone
- (401) 640-2420
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RN209560 | MA | MD | Community/Behavioral Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | RN209560 | MA | Yes |
Addresses
Primary practice location
693 Crandall Rd
Tiverton, RI 02878-2616
Mailing address
693 Crandall Rd
Tiverton, RI 02878-2616
Phone (401) 624-7751
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 4016402420 | Health Information Exchange (HIE) |
Other providers in Tiverton, RI
- Walter Armin Brown
- Nickie Buchanan
- Lori Buckley
- Roderick William Butlin
- By the Bay Speech and Feeding LLC
- Bonita Gail Cade
- Jessica Camara
- Aaron Clayton Campini
- Stephanie Carlile
- Rachael Christine Cavallaro
All providers in Tiverton, RI · Community/Behavioral Health Agency 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 30, 2021. 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.