Individual provider Active NPI

Angelina Papaioannou, NP

  • Nurse Practitioner
  • Riverside, RI
National Provider Identifier
1215544606
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN02847 Issued in RI
Practice address
1445 Wampanoag TRL Unit 205
Riverside, RI 02915-1019
Phone
(401) 434-0730
Fax
(401) 270-3439
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN02847 RI Primary

Addresses

Primary practice location

1445 Wampanoag TRL Unit 205
Riverside, RI 02915-1019

Mailing address

10 Davol SQ Ste 400
Providence, RI 02903-4760
Phone (401) 421-4000

Other identifiers 1

IdentifierTypeStateIssuer
APRN02847OtherRILICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apapaioannou192563@direct.lifespan.org

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
I20211201002025 RI Practitioner - Nurse Practitioner 9537559794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

1445 Wampanoag TRL
Unit 205
Riverside, RI 02915-1019
Phone (401) 434-0730

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Coastal Medical Physicians, Inc. Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
Coastal Medical, Inc. Past Accepting new patients

Locations

900 Warren Ave
Ste 400
East Providence, RI 02914
Phone (401) 331-1221

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

1445 Wampanoag Trl
Unit 205
Riverside, RI 02915
Phone (401) 434-0770

Interoperability endpoints

  • Direct secure messaging: apapaioannou192563@direct.lifespan.org
  • Direct secure messaging: apapaioannou192563@brownhealth.medalliesdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1215544606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ STE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034760",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WAMPANOAG TRL UNIT 205",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151019",
            "telephone_number": "401-434-0730",
            "fax_number": "401-270-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAIOANNOU",
        "first_name": "ANGELINA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN02847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN02847",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apapaioannou192563@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "1445 Wampanoag Trl Unit 205",
            "city": "Riverside",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029151019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.