Individual provider Active NPI

Brianna Alizae Logan

  • Acute Care Nurse Practitioner
  • Wakefield, RI
National Provider Identifier
1194618959
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN04735 Issued in RI
Practice address
100 Kenyon Ave
Wakefield, RI 02879-4299
Phone
(401) 782-8000
NPI assigned
May 31, 2025
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN04735 RI Primary
Gerontology Nurse Practitioner 363LG0600X APRN04735 RI

Addresses

Primary practice location

100 Kenyon Ave
Wakefield, RI 02879-4299

Mailing address

372 Pontiac Ave
Cranston, RI 02910-2707
Phone (401) 345-1361

Other names 1

  • Brianna Alizae Lopes Former name

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
I20250814002764 RI Practitioner - Nurse Practitioner 6305345687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

70 Kenyon Ave
Suite 210
Wakefield, RI 02879-4253
Phone (401) 788-8780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN04735RIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients

Locations

3461 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 471-6850

38 Powel Ave
Newport, RI 02840
Phone (401) 788-8780

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

70 Kenyon Ave
Ste 210
Wakefield, RI 02879
Phone (401) 788-8780

Organizations & group practices 3

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 2

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": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1194618959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102707",
            "telephone_number": "401-345-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KENYON AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794299",
            "telephone_number": "401-782-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "BRIANNA",
        "middle_name": "ALIZAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "RI",
            "license": "APRN04735",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN04735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "LOPES",
            "middle_name": "ALIZAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.