Individual provider Active NPI

Paula Holmes Constantine, CNP

  • Adult Health Nurse Practitioner
  • Riverside, RI
National Provider Identifier
1063940062
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN01432 Issued in RI
Practice address
375 Wampanoag TRL Ste 102
Riverside, RI 02915-2233
Phone
(401) 649-4010
Fax
(401) 649-4011
NPI assigned
Jun 2, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN01432 RI Primary

Addresses

Primary practice location

375 Wampanoag TRL Ste 102
Riverside, RI 02915-2233

Mailing address

17 Virginia Ave Ste 107
Providence, RI 02905-4406

Other practice location 1

500 Waterfront Dr
East Providence, RI 02914-5048
Phone (401) 272-5280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20250402002037 CT Practitioner - Nurse Practitioner 3274802525 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Current Accepting new patients
The Connecticut Hospice, Inc CurrentSince Jan 24, 2025 Accepting new patients

Locations

100 Double Beach Rd
Branford, CT 06405
Phone (203) 315-7500

Interoperability endpoints

  • Direct secure messaging: pconstantine@direct.carene.org

Organizations & group practices 2

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063940062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VIRGINIA AVE STE 107",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL STE 102",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152233",
            "telephone_number": "401-649-4010",
            "fax_number": "401-649-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Waterfront Dr",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145048",
            "country_code": "US",
            "telephone_number": "401-272-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONSTANTINE",
        "first_name": "PAULA",
        "middle_name": "HOLMES",
        "name_prefix": "Miss",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN01432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.