Active NPI
Jennifer R Ouellette, MSN, RNP
- Nurse Practitioner
- Providence, RI
National Provider Identifier
1003821869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NPP37209
- Practice address
- Pvamc 830 Chalkstone Ave
Firm VI
Providence, RI 02908 - Phone
- (401) 273-7100
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NPP37209 | RI | Primary |
Addresses
Primary practice location
Pvamc 830 Chalkstone Ave
Firm VI
Providence, RI 02908
Mailing address
38 Franca Dr
Bristol, RI 02809-4713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110601000651 | RI | Order and Referring Only - Nurse Practitioner | 7618154519 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003821869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 FRANCA DR",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028094713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PVAMC 830 CHALKSTONE AVE",
"address_2": "FIRM VI",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02908",
"telephone_number": "401-273-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUELLETTE",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "MSN, RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "NPP37209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.