Provider Demographics
NPI:1801093992
Name:RAINONE, STEVEN JUDE (NP)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:JUDE
Last Name:RAINONE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 POCASSET ST UNIT 307
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-6943
Mailing Address - Country:US
Mailing Address - Phone:401-480-7306
Mailing Address - Fax:401-455-6309
Practice Address - Street 1:345 BLACKSTONE BLVD
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4800
Practice Address - Country:US
Practice Address - Phone:401-455-6200
Practice Address - Fax:401-455-6293
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN01323363LF0000X
RINPP 37285163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
1093831646OtherBUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
RI1184944662OtherAFFINITY PHYSICIANS, LLC
RI1104801349OtherBUTLER HOSPITAL NPI