NPIMap

Individual provider Active NPI

Laura Elizabeth Tavares, ARNP

  • Primary Care Nurse Practitioner
  • East Providence, RI
National Provider Identifier
1144500356
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN00444 Issued in RI
Practice address
900 Warren Ave Ste 400
East Providence, RI 02914-1430
Phone
(401) 331-1221
Fax
(401) 751-8003
NPI assigned
Aug 18, 2011
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN00444 RI Primary

Addresses

Primary practice location

900 Warren Ave Ste 400
East Providence, RI 02914-1430

Mailing address

900 Warren Ave Ste 400
East Providence, RI 02914-1430
Phone (401) 331-1221

Other names 1

  • Laura E Tavares Covello Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111007000542 RI Practitioner - Nurse Practitioner 0840462297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

900 Warren Ave
Suite 400
East Providence, RI 02914-1430
Phone (800) 508-4908

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Lifespan Corporation Current Accepting new patients

Locations

400 Massasoit Ave
Ste 300
East Providence, RI 02914
Phone (401) 434-2704

900 Warren Ave
Ste 400
East Providence, RI 02914
Phone (401) 331-1221

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

6 Blackstone Valley Pl
Ste 706
Lincoln, RI 02865

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

Interoperability endpoints

  • Direct secure messaging: ltavarescovello192368@brownhealth.medalliesdirect.net

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1144500356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WARREN AVE STE 400",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141430",
            "telephone_number": "401-331-1221",
            "fax_number": "401-751-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WARREN AVE STE 400",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141430",
            "telephone_number": "401-331-1221",
            "fax_number": "401-751-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "RI",
            "license": "APRN00444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "TAVARES COVELLO",
            "middle_name": "E",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.