Individual provider Active NPI

Kaleigh Rapoza, FNP

  • Family Nurse Practitioner
  • Johnston, RI
National Provider Identifier
1174200976
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03678 Issued in RI
Practice address
1539 Atwood Ave Ste 301
Johnston, RI 02919-3262
Phone
(401) 490-4515
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN03678 RI Primary

Addresses

Primary practice location

1539 Atwood Ave Ste 301
Johnston, RI 02919-3262

Mailing address

1539 Atwood Ave Ste 301
Johnston, RI 02919-3262
Phone (401) 490-4515

Other practice location 1

55 Green Hollow Rd
Danielson, CT 06239-3533
Phone (860) 779-1865

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
I20230802002715 RI Practitioner - Nurse Practitioner 9931560281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Derm and Cosmetic Center, IncGroup PAC ID 6709004484, 6 clinicians

Practice addresses (Care Compare)

750 Reservoir Ave
Cranston, RI 02910-4423
Phone (401) 943-0761

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN03678RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Derm & Cosmetic Center, Inc CurrentSince Aug 2, 2023 Accepting new patients

Locations

750 Reservoir Ave
Cranston, RI 02910
Phone (401) 464-6617

1539 Atwood Ave
Ste 301
Providence, RI 02919
Phone (401) 490-4515

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1174200976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 ATWOOD AVE STE 301",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193262",
            "telephone_number": "401-490-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 ATWOOD AVE STE 301",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193262",
            "telephone_number": "401-490-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Green Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Danielson",
            "state": "CT",
            "postal_code": "062393533",
            "country_code": "US",
            "telephone_number": "860-779-1865",
            "fax_number": "860-779-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPOZA",
        "first_name": "KALEIGH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.