Active NPI
My Place for Medical, LLC
- Family Nurse Practitioner
- Warwick, RI
National Provider Identifier
1003630484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MY PLACE FOR MEDICAL, LLC
- Practice address
- 176 Toll Gate Rd Ste 202
Warwick, RI 02886-4480 - Phone
- (401) 363-6032
- Fax
- (401) 384-7208
- NPI assigned
- Nov 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maureen A Place, APRN, FNP-C
- Title
- Family Nurse Practitioner / Owner
- Phone
- (401) 363-6032
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| State or Local Public Health Clinic/Center | 261QP0905X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
176 Toll Gate Rd Ste 202
Warwick, RI 02886-4480
Mailing address
176 Toll Gate Rd Ste 202
Warwick, RI 02886-4480
Phone (401) 363-6032
Other names 1
- My Place for Medical Health & Wellness Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
176 Toll Gate Rd
Ste 202
Warwick, RI 02886
Phone (401) 363-6032
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Warwick, RI
- NPI 1407337322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1003630484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 TOLL GATE RD STE 202",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864480",
"telephone_number": "401-363-6032",
"fax_number": "401-384-7208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 TOLL GATE RD STE 202",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864480",
"telephone_number": "401-363-6032",
"fax_number": "401-384-7208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY PLACE FOR MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-12",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "PLACE",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER / OWNER",
"authorized_official_telephone_number": "401-363-6032",
"authorized_official_credential": "APRN, FNP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My Place for Medical Health & Wellness Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.