Active NPI
Melissa Ann Pistacchio
- Magnetic Resonance Imaging Radiologic Technologist
- Lincoln, RI
National Provider Identifier
1891284162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- License
- RAD01402
- Practice address
- 10 Nahsu Dr
Lincoln, RI 02865-4322 - Phone
- (401) 263-4046
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | RAD01402 | RI | Primary |
Addresses
Primary practice location
10 Nahsu Dr
Lincoln, RI 02865-4322
Mailing address
10 Nahsu Dr
Lincoln, RI 02865-4322
Phone (401) 263-4046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RAD01402 | RI | MD | Magnetic Resonance Imaging Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1891284162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NAHSU DR",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028654322",
"telephone_number": "401-263-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NAHSU DR",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028654322",
"telephone_number": "401-263-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISTACCHIO",
"first_name": "MELISSA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "RI",
"license": "RAD01402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.