Lisa M. Marenaro, RN, PCNS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

PPNS00019 Issued in RI

Practice address

410 Tiogue Avenue
Coventry, RI 02816

Phone

(401) 828-2240

Fax

(401) 828-2240

NPI assigned

Oct 19, 2005

Last updated

Jan 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1750370920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 TIOGUE AVENUE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "02816",
            "telephone_number": "401-828-2240",
            "fax_number": "401-828-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 TIOGUE AVENUE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "02816",
            "telephone_number": "401-828-2240",
            "fax_number": "401-828-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARENARO",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "RN, PCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "RI",
            "license": "PPNS00019",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "RI",
            "license": "RN32695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "407708",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "22573-7",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Violeta M Manansala, M.D.
• Diane M Mancini, LMT
• Holly Mann, COTA
• Timothy Joseph Manown, M.D.
• Madison Rose Marcello
• Mark G. Blasbalg OD Inc
• Meghan Elizabeth Marshall, RPH
• Danielle H Martin, COTA/L
• Janice R Martin, RN
• Zsonelle Martin

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Coventry, RI
• Providers in Coventry, RI by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.