Koren Carbuccia
Community Health Worker in Pawtucket, Rhode Island
1699385831- Practice location
- 25 Maple St, Pawtucket, RI 02860-2104
- Phone
- 401-290-8076
- Fax
- —
- Last updated
- September 13, 2022
Koren Carbuccia is a Community Health Worker based in Pawtucket, RI. Koren Carbuccia practices in Pawtucket, RI. The NPI Number for Koren Carbuccia is 1699385831 and holds a License No. 200800 (RI). The current practice location address for Koren Carbuccia is 25 Maple St, Pawtucket, RI 02860-2104 and can be reached out via phone at 401-290-8076.
Provider Profile Details
- NPI Number
- 1699385831
- Provider Name
- Koren Carbuccia
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 Maple St, Pawtucket, RI 02860-2104
- Phone Number
- 401-290-8076
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 3, 2020
- Last Update Date
- September 13, 2022
- Certification Date
- September 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Maple St
Pawtucket, RI 02860-2104 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-2104
- Phone Number
- 401-290-8076
Provider Business Mailing Address Details
- Address
- 25 Maple St
Pawtucket, RI 02860-2104 - City
- Pawtucket
- State
- RI
- Zip
- 02860-2104
- Phone Number
- 401-290-8076
License Information
- License Number (1)
- 200800
- License State (1)
- RI
- Taxonomy (1)
- Peer Specialist · 175T00000X
- Taxonomy (2)
- Doula · 374J00000X
- License Number (3)
- 200800
- Taxonomy (3)
- Community Health Worker · 172V00000X · Primary
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 Koren Carbuccia?
The NPI number of Koren Carbuccia is 1699385831. It was assigned on August 3, 2020 and is currently active in the NPPES registry.
What is the specialty of Koren Carbuccia?
Koren Carbuccia is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in RI under license number 200800.
Where does Koren Carbuccia practice?
The practice location is 25 Maple St, Pawtucket, RI 02860-2104. The office can be reached at 401-290-8076 (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 1699385831 directly on the NPPES registry website.