Gianna Bordieri
Individual provider Active NPI Speech-Language Pathologist · Johnston, RI
NPI 1821769191 · NPPES record last updated Sep 25, 2021
Key facts
- NPI
- 1821769191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP01624 (RI)
- Practice address
- 8 Ann Dr
Johnston, RI 02919-4891 - Phone
- (401) 447-8866
- NPI assigned
- Sep 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP01624 | RI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP01624 | RI | Yes |
Addresses
Primary practice location
8 Ann Dr
Johnston, RI 02919-4891
Mailing address
8 Ann Dr
Johnston, RI 02919-4891
Other providers in Johnston, RI
- Gabriella Blumenstock
- Isabelle Katie Blumenstock I
- Susan Boelger
- Jason Boie
- John D Bomford
- Lynn Marie Borrelli
- Christina Bortz
- David Boulanger
- Colby Diane Brady
- Jessica Braga
All providers in Johnston, RI · Speech-Language Pathologist 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 Sep 25, 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.