Active NPI
Lee Disalvia McWeeney
- Specialist
- Johnston, RI
National Provider Identifier
1912458043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1516 Atwood Ave
Johnston, RI 02919-3223 - Phone
- (401) 785-2666
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1516 Atwood Ave
Johnston, RI 02919-3223
Mailing address
25 Phillips Rd
East Greenwich, RI 02818-3439
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-0512073 | Medicaid | RI | |
| RI56852 | Medicaid | RI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1912458043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 PHILLIPS RD",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028183439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 ATWOOD AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193223",
"telephone_number": "401-785-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISALVIA MCWEENEY",
"first_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05-0512073",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RI56852",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.