Individual provider Active NPI

Desmond Gyamfi

  • Nurse Practitioner
  • Providence, RI
National Provider Identifier
1205376357
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN01652 Issued in RI
Practice address
2 Regency PLZ
Suite 10
Providence, RI 02903-3160
Phone
(401) 331-0755
Fax
(401) 331-0701
NPI assigned
Mar 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X RN49347 RI
Nurse Practitioner 363L00000X APRN01652 RI Primary

Addresses

Primary practice location

2 Regency PLZ
Suite 10
Providence, RI 02903-3160

Mailing address

136 Parkview Dr
Suite 10
Pawtucket, RI 02861-3942
Phone (410) 368-2369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN49347RIMDInfection Control Registered Nurse

Interoperability endpoints

  • Direct secure messaging: dgyamfi@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1205376357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 PARKVIEW DR",
            "address_2": "SUITE 10",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613942",
            "telephone_number": "410-368-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 REGENCY PLZ",
            "address_2": "SUITE 10",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033160",
            "telephone_number": "401-331-0755",
            "fax_number": "401-331-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYAMFI",
        "first_name": "DESMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "RI",
            "license": "RN49347",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN01652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.