Individual provider Active NPI

Nicole L Flanagan

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1093757916
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN00477 Issued in RI
Practice address
154 Waterman St Ste 15
Providence, RI 02906-3116
Phone
(401) 251-0628
Fax
(401) 340-1580
NPI assigned
Jun 12, 2006
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN00477 RI Primary
Registered Nurse 163W00000X RN40482 RI

Addresses

Primary practice location

154 Waterman St Ste 15
Providence, RI 02906-3116

Mailing address

154 Waterman St Ste 15
Providence, RI 02906-3116
Phone (401) 251-0628

Other identifiers 8

IdentifierTypeStateIssuer
1093757916OtherRITUFTS
1093757916OtherRIAETNA
1093757916OtherRIHARVARD PILGRIM
1093757916OtherRICIGNA
1093757916OtherRIUNICARE
1093757916OtherRIBLUE CROSS BLUE SHIELD
NF51367MedicaidRI
1093757916OtherRIUBH

Other names 1

  • Ms. Nicole L Lambert Former name

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
I20140730002461 RI Practitioner - Nurse Practitioner 4981820719 Reassigns benefits to 1 organization
Practice locations: Riverside, RI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

455 Tollgate Rd
Warwick, RI 02886-2759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN00477RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Jul 1, 2016 Accepting new patients
Butler Hospital Current Accepting new patients
Hope, Healing & Holistic Psychiatry Psychiatric/Mental Health Current Accepting new patients
Affinity Physicians LLC. CurrentSince Jul 1, 2016 Accepting new patients
The Providence Center Past Accepting new patients

Locations

154 Waterman St
Ste 15
Providence, RI 02906
Phone (401) 251-0628

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/713ac9f5-15a6-4520-831d-8a5ba81c49d0/
  • Direct secure messaging: nflanagan10064@direct.carene.org

Organizations & group practices 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1093757916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WATERMAN ST STE 15",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063116",
            "telephone_number": "401-251-0628",
            "fax_number": "401-340-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WATERMAN ST STE 15",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063116",
            "telephone_number": "401-251-0628",
            "fax_number": "401-340-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "NICOLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN00477",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN40482",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "1093757916",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1093757916",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "1093757916",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1093757916",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "1093757916",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1093757916",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NF51367",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "1093757916",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LAMBERT",
            "middle_name": "L",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.