Nicholas Joseph Souza, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN07573 Issued in RI

Practice address

Vamc 830 Chalkstone Ave.
Providence, RI 02908-4799

Phone

(401) 273-7100

Fax

(401) 525-2594

NPI assigned

Jul 19, 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

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730108416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 GROVE AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192053",
            "telephone_number": "401-233-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VAMC 830 CHALKSTONE AVE.",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084799",
            "telephone_number": "401-273-7100",
            "fax_number": "401-525-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "RI",
            "license": "LPN07573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southside Perinatal
• Levon Souvalian, MD
• Joan A Souza, MSW LICSW
• Kelly Ann Souza
• Monica Katharine Souza, PA-C
• Stacie Lyn Souza, LICSW
• Victoria Souza, PHARMD
• Carole Suzanne Lucie Spake, MD
• Anthony Joseph Spallino, PA-C
• Lora Spalt, LCDS

• Licensed Practical Nurse in Providence, RI
• Providers in Providence, RI by specialty
• Licensed Practical 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.