Active NPI
Liberty Regenerative Institute, LLC
- Primary Care Nurse Practitioner
- East Greenwich, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- LIBERTY REGENERATIVE INSTITUTE, LLC
- Practice address
- 3285 S County TRL FL 2
East Greenwich, RI 02818-1469 - Phone
- (401) 854-7955
- Fax
- (877) 501-2230
- NPI assigned
- Oct 28, 2026
- Last updated
- Oct 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Holland, APRN
- Title
- Ceo
- Phone
- (401) 854-7955
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
3285 S County TRL FL 2
East Greenwich, RI 02818-1469
Mailing address
3285 S County TRL FL 2
East Greenwich, RI 02818-1469
Phone (401) 854-7955
National Provider Directory
National Provider DirectoryLocations
3285 S County Trl
Fl 2
East Greenwich, RI 02818
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Charlestown, RI
- NPI 1124451695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793145600000",
"number": "1164320297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3285 S COUNTY TRL FL 2",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181469",
"telephone_number": "401-854-7955",
"fax_number": "877-501-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3285 S COUNTY TRL FL 2",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181469",
"telephone_number": "401-854-7955",
"fax_number": "877-501-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY REGENERATIVE INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-28",
"last_updated": "2026-10-28",
"certification_date": "2026-10-28",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "401-854-7955",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.