Matthew Dominic McSoley, R.N.

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN24733 Issued in RI

Practice address

111 Brewster St
Cardiology
Pawtucket, RI 02860-4400

Phone

(401) 729-2503

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669535142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 MIANTONOMO DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028885242",
            "telephone_number": "401-461-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BREWSTER ST",
            "address_2": "CARDIOLOGY",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604400",
            "telephone_number": "401-729-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSOLEY",
        "first_name": "MATTHEW",
        "middle_name": "DOMINIC",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "RI",
            "license": "RN24733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca McLean
• Naomi Y McMackin, MD
• Megan McMahon, MD
• Blake McMillian, APRN CNP PMHNP-BC
• Megan McNamara, MD
• Med Tech Inc
• Carroll A Medeiros, MD
• Janine Mary Medeiros, FNP-BC
• Kevin Francis Medeiros, PHYSICAL THERAPIST
• Milagros Medina

• Diabetes Educator Registered Nurse in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Diabetes Educator Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.