James Mark Badger, PHD
Individual provider Active NPI Adult Health Nurse Practitioner · Providence, RI
NPI 1710169792 · NPPES record last updated Mar 25, 2020
Key facts
- NPI
- 1710169792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- APRN00898 (RI)
- Practice address
- 593 Eddy St
Apc 948
Providence, RI 02903-4923 - Phone
- (401) 444-5480
- Fax
- (401) 444-3492
- NPI assigned
- Nov 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PNS00001 | RI | MD | Adult Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | PNS00001 | RI | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN00898 | RI | Yes |
Addresses
Primary practice location
593 Eddy St
Apc 948
Providence, RI 02903-4923
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other providers in Providence, RI
- Robyn Bacon
- Sarah Butler Bacon
- Sarah Donnelly Bacon
- Rozeen Badeel
- Sharon Badejo
- Jennifer Rose Badger
- Corey J Badgett
- Khairat Badru
- Reynaldo Puertollano Baduya Sr.
- Joachim Elias Badway
All providers in Providence, RI · Adult Health Nurse Practitioner 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 Mar 25, 2020. 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.