Individual provider Active NPI

Patricia Lynn Calvert, MSN, APRN, GCNS-BC,

  • Gerontology Clinical Nurse Specialist
  • Providence, RI
National Provider Identifier
1043954233
Registry record updated Apr 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
RN355 Issued in RI
Practice address
350 Eddy St
Providence, RI 02903-4202
Phone
(401) 456-6323
NPI assigned
Apr 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN35588 RI
Gerontology Registered Nurse 163WG0600X RN35588 RI
Gerontology Clinical Nurse Specialist 364SG0600X RN355 RI Primary

Addresses

Primary practice location

350 Eddy St
Providence, RI 02903-4202

Mailing address

41 Brookwood Rd
Bristol, RI 02809-1206
Phone (401) 574-5157

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL ric.edu Other
Other URL ric.edu Other

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN35588RIMDRegistered Nurse
RN355RIMDGerontology Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1043954233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BROOKWOOD RD",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091206",
            "telephone_number": "401-574-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034202",
            "telephone_number": "401-456-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, GCNS-BC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-24",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN35588",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "RI",
            "license": "RN35588",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "RI",
            "license": "RN355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ric.edu",
            "affiliation": "N",
            "endpointDescription": "College",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "education",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "education",
            "address_1": "350 Eddy St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ric.edu",
            "affiliation": "N",
            "endpointDescription": "college",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "education",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "guidelines",
            "address_1": "350 Eddy St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029034202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 24, 2022; 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.