Genesis

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PTA00760 Issued in RI

Legal business name

GENESIS

Practice address

10 Woodland Dr
Coventry, RI 02816-6716

Phone

(401) 826-2000

NPI assigned

Jul 27, 2011

Organization subpart

No

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

Authorized official

Name

Lisa Walkin, MS PT GCS

Title

Program Manager

Phone

(401) 826-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1861770745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODLAND DR",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAND DR",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166716",
            "telephone_number": "401-826-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "WALKIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "401-826-2000",
        "authorized_official_credential": "MS PT GCS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "PTA00760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Funicello, LICSW
• Jennifer Gagnon, PHARMD
• Jacqueline Duldulao Ganiron, PT, DPT
• Earl Robert Gauthier, MA
• Dmitry Z Gelfand, DDS
• Ellen Cookie Gilchrist, RN, BSN, CDOE
• Karen Gilmartin, RPH
• James E Ginda, MA, RRT, AE-C, FAARC
• Jeffrey Glidden
• Richard J Goccia, M.D.

• Skilled Nursing Facility in Coventry, RI
• Providers in Coventry, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.