Individual provider Active NPI

Megan Auld, CRNP

  • Neonatal Nurse Practitioner
  • Providence, RI
National Provider Identifier
1053716993
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
APRN01817 Issued in RI
Practice address
101 Dudley Street
Women and Infants Hospital Dept of Pediatrics
Providence, RI 02905-0290
Phone
(401) 274-1122
Fax
(401) 453-7571
NPI assigned
Nov 4, 2014
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X R213130 MD
Neonatal Nurse Practitioner 363LN0000X APRN01817 RI Primary

Addresses

Primary practice location

101 Dudley Street
Women and Infants Hospital Dept of Pediatrics
Providence, RI 02905-0290

Mailing address

22 S Greene St
Attn: Nicu
Baltimore, MD 21201-1544
Phone (410) 628-6716

Other practice location 1

22 S Greene St
Attn: Nicu
Baltimore, MD 21201-1544
Phone (410) 628-6716

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mauld@wih.cernerdirect.carene.org Health Information Exchange (HIE)

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
I20191029000533 RI Practitioner - Nurse Practitioner 7719200906 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R213130MDMDNeonatal Nurse Practitioner
APRN01817RIMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Aug 28, 2019 Accepting new patients
Affinity Physicians LLC. CurrentSince Aug 28, 2019 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Jun 1, 2022 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Jun 1, 2022 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Jun 1, 2022 Accepting new patients
Prime Healthcare Services Landmark LLC Past Accepting new patients

Locations

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1053716993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "ATTN: NICU",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-628-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DUDLEY STREET",
            "address_2": "WOMEN AND INFANTS HOSPITAL DEPT OF PEDIATRICS",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029050290",
            "telephone_number": "401-274-1122",
            "fax_number": "401-453-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_2": "ATTN: NICU",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-628-6716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AULD",
        "first_name": "MEGAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MD",
            "license": "R213130",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "RI",
            "license": "APRN01817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mauld@wih.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Dudley Street",
            "address_2": "Women and Infants Hospital Dept of Pediatrics",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029050290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.