Active NPI
Jill M Deluca, BS
- Registered Nurse
- Providence, RI
National Provider Identifier
1053758573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60188
- Practice address
- 530 N Main St
Providence, RI 02904-5762 - Phone
- (401) 276-4100
- NPI assigned
- May 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60188 | RI | Primary |
Addresses
Primary practice location
530 N Main St
Providence, RI 02904-5762
Mailing address
PO Box 899
Charlestown, RI 02813-0899
Phone (401) 364-7705
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60188 | RI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Center Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Group Psychotherapy Psychologist
- Charlestown, RI
- NPI 1255327391
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1053758573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 899",
"city": "CHARLESTOWN",
"state": "RI",
"postal_code": "028130899",
"telephone_number": "401-364-7705",
"fax_number": "401-364-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N MAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045762",
"telephone_number": "401-276-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCA",
"first_name": "JILL",
"middle_name": "M",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN60188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.