Organization Active NPI

Elev8 Health & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • North Providence, RI
National Provider Identifier
1003590365
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ELEV8 HEALTH & WELLNESS
Practice address
1243 Mineral Spring Ave Unit 7
North Providence, RI 02904-4636
Phone
(401) 258-2579
Fax
(401) 340-1831
NPI assigned
Jun 14, 2023
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Elizabeth Da Silva, APRNNPI 1982208484
Title
FNP
Phone
(401) 258-2579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1243 Mineral Spring Ave Unit 7
North Providence, RI 02904-4636

Mailing address

115 Columbus Ave
Pawtucket, RI 02860-5550
Phone (401) 258-2579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250829003806 RI Part B Supplier - Clinic/Group Practice 4183083314 Receives reassigned benefits from 1 practitioner
Practice locations: North Providence, RI
O20260318003409 MA Part B Supplier - Clinic/Group Practice 4183083314 Receives reassigned benefits from 1 practitioner
Practice locations: South Attleboro, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2319163Elev8 Health & Wellness LLC1243 Mineral Spring Ave Unit 7, North Providence, RI 02904Certificate of waiverFeb 24, 2027

National Provider Directory

National Provider Directory

Locations

679 Washington St
Ste 3
South Attleboro, MA 02703
Phone (401) 258-2579

1243 Mineral Spring Ave
Unit 200
North Providence, RI 02904
Phone (401) 258-2579

1243 Mineral Spring Ave
Unit 7
North Providence, RI 02904
Phone (401) 258-2579

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1003590365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COLUMBUS AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605550",
            "telephone_number": "401-258-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 MINERAL SPRING AVE UNIT 7",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044636",
            "telephone_number": "401-258-2579",
            "fax_number": "401-340-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEV8 HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "DA SILVA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "401-258-2579",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.