Marykate Dunleavy, MSPAS, PA-C
Physician Assistant, Medical in Providence, Rhode Island
1396800520- Practice location
- 593 Eddy St, Providence, RI 02903-4923
- Phone
- 401-519-1604
- Fax
- 401-272-0538
- Last updated
- March 5, 2026
Marykate Dunleavy is a Physician Assistant, Medical based in Providence, RI. Marykate Dunleavy practices in Providence, RI and has the professional credentials of MSPAS, PA-C. The NPI Number for Marykate Dunleavy is 1396800520 and holds a License No. PA00489 (RI). The current practice location address for Marykate Dunleavy is 593 Eddy St, Providence, RI 02903-4923 and can be reached out via phone at 401-519-1604 and via fax at 401-272-0538.
Provider Profile Details
- NPI Number
- 1396800520
- Provider Name
- Marykate Dunleavy
- Credential
- MSPAS, PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 593 Eddy St, Providence, RI 02903-4923
- Phone Number
- 401-519-1604
- Fax Number
- 401-272-0538
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 27, 2006
- Last Update Date
- March 5, 2026
- Certification Date
- March 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 593 Eddy St
Providence, RI 02903-4923 - City
- Providence
- State
- Rhode Island
- Zip
- 02903-4923
- Phone Number
- 401-519-1604
- Fax Number
- 401-272-0538
Provider Business Mailing Address Details
- Address
- Po Box 9484
Providence, RI 02940-9484 - City
- Providence
- State
- RI
- Zip
- 02940-9484
- Phone Number
- 401-854-2500
- Fax Number
- 401-854-2519
License Information
- License Number (1)
- PA00489
- License State (1)
- RI
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X · Primary
- License Number (2)
- 029700
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X
- License Number (3)
- 9116904
- License State (3)
- FL
- Taxonomy (3)
- Physician Assistant, Medical · 363AM0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Marykate Dunleavy, MSPAS, PA-C?
The NPI number of Marykate Dunleavy, MSPAS, PA-C is 1396800520. It was assigned on December 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Marykate Dunleavy, MSPAS, PA-C?
Marykate Dunleavy, MSPAS, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in RI under license number PA00489.
Where does Marykate Dunleavy, MSPAS, PA-C practice?
The practice location is 593 Eddy St, Providence, RI 02903-4923. The office can be reached at 401-519-1604 (phone) or 401-272-0538 (fax).
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 1396800520 directly on the NPPES registry website.