Stephanne Proske

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN02008 Issued in RI

Practice address

830 Chalkstone Ave
Providence, RI 02908-4799

Phone

(401) 273-7100

NPI assigned

Mar 7, 2019

Last updated

Mar 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1184182263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084799",
            "telephone_number": "401-273-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CHALKSTONE AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084799",
            "telephone_number": "401-273-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSKE",
        "first_name": "STEPHANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "RI",
            "license": "APRN02008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Mobile Health, LLC
• Project Weber/ (Project Weber/RENEW)
• Olga Prokunina, MD
• Andrew A. Proos, MD
• Stephen L Propatier, ACCNP
• Prospect Chartercare Elmhurst, LLC (Elmhurst Extended Care Facility)
• Prospect Chartercare Home Health and Hospice, LLC
• Prospect Chartercare Physicians LLC (Chartercare Medical Assoc. Infusion Center)
• Prospect Chartercare RWMC, LLC (Roger Williams Medical Center)
• Prospect Chartercare RWMC, LLC (Roger Williams Medical Center)

• Primary Care Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Primary Care Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.