Clarisse S Dexter, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NPP15609 Issued in RI

Practice address

375 Wampanoag TRL
Suite 102
Riverside, RI 02915-2232

Phone

(401) 649-4010

Fax

(401) 649-4011

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1881756310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VIRGINIA AVE",
            "address_2": "SUITE 107",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152232",
            "telephone_number": "401-649-4010",
            "fax_number": "401-649-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "CLARISSE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP15609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9095629",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Leigh Defond, PHARMD
• Laura Deihl, PH.D.
• Thomas D Denucci, M.D.
• Kyla Adriana Dewar, M.D.
• Brooke Dewitt, PH.D.
• Jasline Kaur Dhingra, MD
• Jessica Dias, RN
• Mario R Dias, LCSW
• Susane A. Dickson, M.D.
• Christopher M. Dimarco, M.D.

• Nurse Practitioner in Riverside, RI
• Providers in Riverside, RI by specialty
• Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.