State of Rhode Island and Providence Plantations

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS

Practice address

3 Capitol HL
Room 402
Providence, RI 02908-5034

Phone

(401) 222-5112

Fax

(401) 222-1256

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Douglas A Axelsen

Title

Cfo

Phone

(401) 222-5112

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Department of Health Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1962536730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CAPITOL HL",
            "address_2": "ROOM 402",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085034",
            "telephone_number": "401-222-5112",
            "fax_number": "401-222-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CAPITOL HL",
            "address_2": "ROOM 402",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085034",
            "telephone_number": "401-222-5112",
            "fax_number": "401-222-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "AXELSEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "401-222-5112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBR",
            "identifier": "0000031189",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maggie Elizabeth Stark, DO
• Nichole Stark, PHARMD
• Jessica Lynn Starnes
• Amanda Lynne Starr, LMHC
• State of Rhode Island
• Kara Anne Stavros, MD
• Pamela Steadman-Wood, PH.D.
• Kate Stearns, MT
• Alexa Steckler
• Angel Stedman, LPN

• Public Health or Welfare Agency in Providence, RI
• Providers in Providence, RI by specialty
• Public Health or Welfare Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.