Individual provider Active NPI

Chelsea Lee Reynolds Northup, FNP STUDENT

  • Student in an Organized Health Care Education/Training Program
  • East Greenwich, RI
National Provider Identifier
1023967684
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1351 S County TRL Ste 301
East Greenwich, RI 02818-5083
Phone
(401) 398-0860
NPI assigned
Jan 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RI Primary

Addresses

Primary practice location

1351 S County TRL Ste 301
East Greenwich, RI 02818-5083

Mailing address

169 Underwood Ave
Warwick, RI 02888-1222
Phone (401) 219-5113

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

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1023967684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 UNDERWOOD AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881222",
            "telephone_number": "401-219-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL STE 301",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185083",
            "telephone_number": "401-398-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS NORTHUP",
        "first_name": "CHELSEA",
        "middle_name": "LEE",
        "credential": "FNP STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.