Organization Active NPI

Liberty Regenerative Institute, LLC

  • Primary Care Nurse Practitioner
  • East Greenwich, RI
National Provider Identifier
1164320297
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Wendy Holland, APRNNPI 1124451695
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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.