EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1790548949
General Practice in Providence, RI
NPI Status: Active since January 31, 2024
Contact Information
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
Phone: (773) 292-4800
Fax: (312) 564-4059
- Organization
- General Practice
- CLIA Number: 41D2302632
- CLIA Cert. Type: Other - IN HOME PRIMARY CARE
- CLIA Exp. Date: 04-11-2026
About EVERNORTH CARE PROVIDERS - DELAWARE PA
This page provides the complete NPI Profile along with additional information for Evernorth Care Providers - Delaware Pa, a primary care provider established in Providence, Rhode Island operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1790548949 assigned on January 2024. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Evernorth Care Providers - Delaware Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Grace Blue (Credentialing Sr. Manager)
- NPI
- 1790548949
- Provider Name
- EVERNORTH CARE PROVIDERS - DELAWARE PA
- Entity Type
- Organization
- Location Address
- 10 DORRANCE ST STE 700 PROVIDENCE, RI 02903
- Location Phone
- (773) 292-4800
- Location Fax
- (312) 564-4059
- Mailing Address
- 730 COOL SPRINGS BLVD STE 500 FRANKLIN, TN 37067
- Mailing Phone
- (773) 292-4800
- Mailing Fax
- (312) 564-4059
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-31-2024
- Last Update Date
- 01-31-2024
- Code Navigator
A primary care provider (PCP) like Evernorth Care Providers - Delaware Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 41D2302632
- Facility Type
- Other - IN HOME PRIMARY CARE
- Certificate Effective Date
- April 12, 2024
- Certificate Expiration Date
- April 11, 2026
- Laboratory Director
- SHANNON ALSOP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evernorth Care Providers - Delaware Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 5 | 4 | 8 | 9 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 10 | 4 | 16 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 0 + 4 + 1 + 6 + 9 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1790548949 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
PROVIDENCE MEDICAL SUPPLIES
Durable Medical Equipment & Medical Supplies
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
DINA MCCAMISH PT
Physical Therapist
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
NICOLE FORTIER OT
Occupational Therapist
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
CELESTIAL SMILE DENTAL ASSOCIATES PC
Dentist
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
LAUREN ALINE GIAMMALVO
Behavior Analyst
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
PDI HEALTH RI LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
MICHAEL BERTONCINI
Physical Therapist
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
AUTISM FAMILY CONSULTANTS LLC
Behavior Analyst
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
REGIONAL PHYSICIAN SERVICES RHODE ISLAND PC
Internal Medicine
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
LINDSEY CHAMPA
Nurse Practitioner
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
TAMIKA PHILLIPS
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
MRS. NICOLE LYNN RAYTA APRN, FNP-C
Nurse Practitioner
(Family)
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
MARION LORENE BERRYHILL APN
Nurse Practitioner
(Family)
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
CHRISTINA BLANDA COTA/L
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
DENEEN ROBERTS
Behavior Analyst
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
LOTS OF LOVE AFC LLC
Custodial Care Facility
(Adult Care Home)
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
MRS. CHRISTINE JOHNSON
Behavior Analyst
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
DR. SHANETTE MARIE HARRIS PH.D.
Psychologist
(Clinical)
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
RHODE ISLAND MEDICAL SPECIALISTS PC
Clinic/Center
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
JARED MICHAEL DUFOUR
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI
ZIP 02903
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790548949, enumerated as an "organization" on January 31, 2024.
The provider is located at 10 DORRANCE ST STE 700 PROVIDENCE, RI 02903 and the phone number is (773) 292-4800.
General Practice with taxonomy code 208D00000X.
