Individual provider Active NPI

Richard Crino, RN, CTR, QMHP

  • Registered Nurse
  • Woonsocket, RI
National Provider Identifier
1003835323
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN23215 Issued in RI
Practice address
55 John a Cummings Way
Woonsocket, RI 02895-3247
Phone
(401) 235-7000
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN23215 RI Primary

Addresses

Primary practice location

55 John a Cummings Way
Woonsocket, RI 02895-3247

Mailing address

23 Briggs Rd
Foster, RI 02825-1206
Phone (401) 235-7000

Other identifiers 1

IdentifierTypeStateIssuer
RC03417MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Tumor Registrar, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN23215RIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003835323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BRIGGS RD",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251206",
            "telephone_number": "401-235-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 JOHN A CUMMINGS WAY",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953247",
            "telephone_number": "401-235-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRINO",
        "first_name": "RICHARD",
        "credential": "RN, CTR, QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN23215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RC03417",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.