Alfred Henry Liddle, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00023 Issued in RI

Practice address

6 Blackstone Valley PL Ste 201
Lincoln, RI 02865-1112

Phone

(401) 638-6374

Fax

(401) 358-9042

NPI assigned

Dec 28, 2005

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Male

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

Specialty

Physician Assistant

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mdri LLCGroup PAC ID 6406291632, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nursing Placement Home Health Care Services Home health agency, Pawtucket, RI, CCN 417055
• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alfred.liddle.1@29391.direct.athenahealth.com

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.

• Mdri LLC

  dba Blackstone Valley Medicine

  • Primary Care Clinic/Center
  • East Greenwich, RI
  • NPI 1922887157
  Medicare reassignment Care Compare group
• VMD Primary Providers of Rhode Island PC

  • Family Medicine Physician
  • Cumberland, RI
  • NPI 1598341067
  Medicare reassignment
• Ocean State Urgent Care Center of Woonsocket

  • Family Medicine Physician
  • Woonsocket, RI
  • NPI 1073973574
  NPD
• Ocean State Urgent Care Center of Coventry, LLC

  • Urgent Care Clinic/Center
  • Coventry, RI
  • NPI 1013302488
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nursing Placement Home Health Care Services, Inc.

  • Home Health Agency
  • Pawtucket, RI
  • NPI 1497826515
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1205813615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 201",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-638-6374",
            "fax_number": "401-358-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL STE 201",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-638-6374",
            "fax_number": "401-358-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDLE",
        "first_name": "ALFRED",
        "middle_name": "HENRY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toussaint Andre Leclercq, MD
• Martha Rose Leonard, MSN, CPNP
• Cameron Levine
• Christina Onassis Lewis, MSN, APRN, FNP-C
• Liberty Physical Therapy
• Fatim Liguer-Laubhouet
• Lime Rock Medical Inc.
• Lincoln Dental Care LLC
• Lincoln Pediatric Assoc Inc
• Lincoln Psychiatric Services, Inc.

• Physician Assistant in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.