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JODI B CUSACK PA-C
NPI 1306128251
Physician Assistant in Cranston, RI

Active since September 16, 2011
1150 RESERVOIR AVE STE 201, CRANSTON, RI 02920(401) 943-1300(401) 228-7109 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jodi B Cusack Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODI B CUSACK PA-C (NPI 1306128251) is an individual physician assistant in Cranston, Rhode Island and active in the NPI registry since September 2011. She maintains a secondary practice location in Narragansett.

NPPES Registry Identity

NPI1306128251
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJODI B CUSACKCredential: PA-C
Location Address1150 RESERVOIR AVE STE 201Cranston, RI 02920
Mailing Address1150 Reservoir Ave Ste 201Cranston, RI 02920-6043 · (401) 943-1300 · Fax (401) 228-7109
Phone(401) 943-1300
Fax(401) 228-7109
Sole ProprietorNo
Enumeration DateSeptember 16, 2011
Last NPPES UpdateJune 29, 2018
✔ NPI 1306128251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1150 RESERVOIR AVE STE 201, Cranston, RI 02920
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Secondary Practice Location 1

Location 1360 Kingstown Rd Ste 202Narragansett, RI 02882-3239 · Phone (401) 789-1860 · Fax (401) 228-7109

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENA LEPRE ACKROYD PA- C
Physician Assistant
1150 RESERVOIR AVE STE 201
CRANSTON, RI 02920
Providence County (401) 942-1300
GABRIEL SIMOES FNP
Nurse Practitioner (Family)
1150 RESERVOIR AVE STE 201
CRANSTON, RI 02920
Providence County (401) 943-1300
COLIN MATTHEW WOODARD DO
Internal Medicine (Gastroenterology)
1150 RESERVOIR AVE STE 201
CRANSTON, RI 02920
Providence County (401) 943-1300
ELISABETH POLLIS PA-C
Physician Assistant
1150 RESERVOIR AVE STE 201
CRANSTON, RI 02920
Providence County (401) 943-1300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodi Cusack's NPI number?

The NPI number for Jodi Cusack is 1306128251. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Where is Jodi Cusack located?

Jodi Cusack practices at 1150 Reservoir Ave Ste 201, Cranston, RI 02920. The listed phone number is (401) 943-1300.

What is Jodi Cusack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jodi Cusack was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.