Individual provider Active NPI

Claire Amanda Nadeau, FNP

  • Family Nurse Practitioner
  • Johnston, RI
National Provider Identifier
1225097140
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN24184 Issued in RI
Practice address
1524 Atwood Ave
Suite 434
Johnston, RI 02919-3228
Phone
(401) 272-8773
Fax
(401) 272-8770
NPI assigned
Mar 20, 2006
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN24184 RI Primary
Family Nurse Practitioner 363LF0000X 002318 CT

Addresses

Primary practice location

1524 Atwood Ave
Suite 434
Johnston, RI 02919-3228

Mailing address

1524 Atwood Ave
Suite 434
Johnston, RI 02919-3228
Phone (401) 272-8773

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
I20051004000025 RI Practitioner - Nurse Practitioner 5890698336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellcare IncGroup PAC ID 0547163081, 3 clinicians

Practice addresses (Care Compare)

1524 Atwood Ave
Johnston, RI 02919-3228
Phone (401) 272-8773

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN24184RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellcare Inc CurrentSince Nov 1, 1998 Accepting new patients
RJ Holding Company LLC PastSince Mar 4, 2012 Accepting new patients

Locations

1524 Atwood Ave
Ste 243
Johnston, RI 02919
Phone (401) 272-8773

1524 Atwood Ave
Ste 434
Johnston, RI 02919
Phone (401) 272-8773

Interoperability endpoints

  • Direct secure messaging: claire.nadeau@wellcare.directbygreenway.com

Organizations & group practices 2

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 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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1225097140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 434",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-272-8773",
            "fax_number": "401-272-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE",
            "address_2": "SUITE 434",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-272-8773",
            "fax_number": "401-272-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "CLAIRE",
        "middle_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "RN24184",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.