Mary Martha Polverino, RN BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN34368 Issued in RI

Practice address

2 Old County Rd
East Bay Center
Barrington, RI 02806-1602

Phone

(401) 246-1195

Fax

(401) 246-1311

NPI assigned

May 24, 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)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1932154010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OLD COUNTY RD",
            "address_2": "EAST BAY CENTER",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061602",
            "telephone_number": "401-246-1195",
            "fax_number": "401-246-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OLD COUNTY RD",
            "address_2": "EAST BAY CENTER",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028061602",
            "telephone_number": "401-246-1195",
            "fax_number": "401-246-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLVERINO",
        "first_name": "MARY",
        "middle_name": "MARTHA",
        "name_prefix": "Ms.",
        "credential": "RN BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN34368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MP52680",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronni M Peltz, MD
• Susanna M Philibert, LICSW, LCDP
• Emily Pickering, LCSW
• Tyler A Poirier, CNM, WHNP-BC
• David Poland, LMHC
• Amy Elizabeth Porter Wareham, MA CCC - SLP
• Katherine Marie Preite, LMT
• Prestige Speech, LLC
• Primary Care of Barrington LLC
• David Proulx

• Registered Nurse in Barrington, RI
• Providers in Barrington, RI by specialty
• Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.