Individual provider Active NPI

Nathan C Finnigan, LCDP

  • Addiction (Substance Use Disorder) Counselor
  • East Providence, RI
National Provider Identifier
1073369146
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDP00895 Issued in RI
Practice address
850 Waterman Ave Ste 1
East Providence, RI 02914-1729
Phone
(401) 434-4999
Fax
(401) 434-6116
NPI assigned
Apr 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00895 RI Primary

Addresses

Primary practice location

850 Waterman Ave Ste 1
East Providence, RI 02914-1729

Mailing address

850 Waterman Ave Ste 1
East Providence, RI 02914-1729
Phone (401) 434-4999

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

State licenses

LicenseStateTypeSpecialty
CDP00895RIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1073369146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WATERMAN AVE STE 1",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141729",
            "telephone_number": "401-434-4999",
            "fax_number": "401-434-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WATERMAN AVE STE 1",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141729",
            "telephone_number": "401-434-4999",
            "fax_number": "401-434-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNIGAN",
        "first_name": "NATHAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.