Active NPIIndividual providerSole proprietor

Jillian O'Melia

Physician Assistant in Bristol, Rhode Island

NPI Number1104415884
Practice location
1 Dawn Hl, Bristol, RI 02809-3903
Fax
—
Last updated
June 1, 2026

Jillian O'Melia is a Physician Assistant based in Bristol, RI. Jillian O'Melia practices in Bristol, RI. The NPI Number for Jillian O'Melia is 1104415884 and holds a License No. PA01317 (RI). The current practice location address for Jillian O'Melia is 1 Dawn Hl, Bristol, RI 02809-3903 and can be reached out via phone at 872-231-3162.

Provider Profile Details

NPI Number
1104415884
Provider Name
Jillian O'Melia
Provider Entity Type
Individual
Gender
Female
Address
1 Dawn Hl, Bristol, RI 02809-3903
Phone Number
872-231-3162
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 15, 2021
Last Update Date
June 1, 2026
Certification Date
June 1, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Dawn Hl
Bristol, RI 02809-3903
Zip
02809-3903
Phone Number
872-231-3162
Bristol, RI 02809Get directions →

Provider Business Mailing Address Details

Address
Po Box 7411009
Chicago, IL 60674-3009
City
Chicago
State
IL
Zip
60674-3009
Phone Number
872-231-3162
Fax Number
702-977-1496

License Information

License Number (1)
PA01317
License State (1)
RI
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
PA8097
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jillian O'Melia?

The NPI number of Jillian O'Melia is 1104415884. It was assigned on January 15, 2021 and is currently active in the NPPES registry.

What is the specialty of Jillian O'Melia?

Jillian O'Melia is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01317.

Where does Jillian O'Melia practice?

The practice location is 1 Dawn Hl, Bristol, RI 02809-3903. The office can be reached at 872-231-3162 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104415884 directly on the NPPES registry website.

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