Active NPIIndividual provider

Shawn K Petrucci

Specialist/Technologist, Athletic Trainer in Wakefield, Rhode Island

NPI Number1689178154
Practice location
153 Kings Ridge RD, Wakefield, RI 02879-7675
Fax
—
Last updated
March 20, 2018

Shawn Kristopher Petrucci is a Specialist/Technologist, Athletic Trainer based in Wakefield, RI. Shawn Kristopher Petrucci practices in Wakefield, RI. The NPI Number for Shawn Kristopher Petrucci is 1689178154. The current practice location address for Shawn Kristopher Petrucci is 153 Kings Ridge RD, Wakefield, RI 02879-7675 and can be reached out via phone at 401-575-7122.

Provider Profile Details

NPI Number
1689178154
Provider Name
Shawn Kristopher Petrucci
Provider Entity Type
Individual
Gender
Male
Address
153 Kings Ridge RD, Wakefield, RI 02879-7675
Phone Number
401-575-7122
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2018
Last Update Date
March 20, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
153 Kings Ridge RD
Wakefield, RI 02879-7675
Zip
02879-7675
Phone Number
401-575-7122
Wakefield, RI 02879Get directions →

Provider Business Mailing Address Details

Address
153 Kings Ridge RD
Wakefield, RI 02879-7675
City
Wakefield
State
RI
Zip
02879-7675
Phone Number
401-575-7122

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

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 Shawn K Petrucci?

The NPI number of Shawn K Petrucci is 1689178154. It was assigned on March 20, 2018 and is currently active in the NPPES registry.

What is the specialty of Shawn K Petrucci?

Shawn K Petrucci is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Shawn K Petrucci practice?

The practice location is 153 Kings Ridge RD, Wakefield, RI 02879-7675. The office can be reached at 401-575-7122 (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 1689178154 directly on the NPPES registry website.

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