Individual provider Active NPI

Amy Marjory Putnam, NP

  • Adult Health Nurse Practitioner
  • Newport, RI
National Provider Identifier
1043230386
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN00919 Issued in RI
Practice address
398 Bellevue Ave
Newport, RI 02840-6955
Phone
(718) 506-1115
NPI assigned
Jul 20, 2006
Last updated
Jul 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN262754 MA
Nurse Practitioner 363L00000X APRN00919 RI
Adult Health Nurse Practitioner 363LA2200X APRN00919 RI Primary

Addresses

Primary practice location

398 Bellevue Ave
Newport, RI 02840-6955

Mailing address

830 Chalkstone Ave
Providence, RI 02908-4734
Phone (401) 273-7100

Other practice location 1

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 506-1115 ext. 61115

Other practice location 2

830 Chalkstone Ave
Providence, RI 02908-4734
Phone (401) 273-7100

Other names 1

  • Amy Marjory Galindo Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170530000843 RI Order and Referring Only - Nurse Practitioner 3577568815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN262754MAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1043230386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084734",
            "telephone_number": "401-273-7100",
            "fax_number": "401-459-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 BELLEVUE AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028406955",
            "telephone_number": "718-506-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Adelphi Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064119",
            "country_code": "US",
            "telephone_number": "718-506-1115 x61115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084734",
            "country_code": "US",
            "telephone_number": "401-273-7100",
            "fax_number": "401-459-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "AMY",
        "middle_name": "MARJORY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN262754",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN00919",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN00919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GALINDO",
            "middle_name": "MARJORY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.