Daniella Ann Lennon, PA-C
Physician Assistant, Surgical in East Greenwich, RI. Individual provider (NPI-1).
Details
- NPI
- 1578079422
- Entity type
- Individual (NPI-1)
- Name
- Daniella Ann Lennon
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2017
- Certification date
- Jun 8, 2026
- Last updated
- Jun 8, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA01020 | RI | Yes |
Practice location
1405 S County Trl Ste 3bEast Greenwich, RI 02818-5081
Phone 401-736-4592 · Fax 401-889-5008
Mailing address
455 Toll Gate RdPrc And Credentialing
Warwick, RI 02886-2759
Phone 401-273-0641 · Fax 401-273-2919
Other practice locations
Providence, RI 02903-4829
Phone 401-736-4592 · Fax 401-889-5008
Warwick, RI 02886-2759
Phone 401-737-7010 · Fax 401-738-0013
Providence, RI 02905-2401
Phone 401-274-1122 · Fax 401-453-7666
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgical Physician Assistant providers in East Greenwich, RI
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