Individual provider Active NPI

Rose McClarnon, RN

  • Psychiatric/Mental Health Registered Nurse
  • Providence, RI
National Provider Identifier
1043343379
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN43512 Issued in RI
Practice address
255 Hope Street
Hope Street Apartments
Providence, RI 02906-2173
Phone
(401) 351-8833
Fax
(401) 274-8210
NPI assigned
Mar 14, 2007
Sex
Female
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
Psychiatric/Mental Health Registered Nurse 163WP0808X RN43512 RI Primary

Addresses

Primary practice location

255 Hope Street
Hope Street Apartments
Providence, RI 02906-2173

Mailing address

25 Blackstone Valley Place
Suite 300 Fellowship Health Resources Inc
Lincoln, RI 02865-1163
Phone (401) 333-3980

Other identifiers 1

IdentifierTypeStateIssuer
RM62942MedicaidRI

Other names 1

  • Rose Silva Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN43512RIMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043343379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BLACKSTONE VALLEY PLACE",
            "address_2": "SUITE 300 FELLOWSHIP HEALTH RESOURCES INC",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651163",
            "telephone_number": "401-333-3980",
            "fax_number": "401-333-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HOPE STREET",
            "address_2": "HOPE STREET APARTMENTS",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062173",
            "telephone_number": "401-351-8833",
            "fax_number": "401-274-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLARNON",
        "first_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN43512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RM62942",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "SILVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

Verify at the official NPI Registry.