NPIMap

Organization Active NPI

Modupe

  • Nursing Facility/Intermediate Care Facility
  • North Providence, RI
National Provider Identifier
1235676289
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
RN42505 Issued in RI
Legal business name
MODUPE
Practice address
1 Kristen Dr
North Providence, RI 02911-2932
Phone
(401) 447-8569
NPI assigned
Jan 30, 2017
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Ms. Modupe O Williams, RNNPI 1265943724
Title
Nurse
Phone
(401) 447-8569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X RN42505 RI Primary

Addresses

Primary practice location

1 Kristen Dr
North Providence, RI 02911-2932

Mailing address

1 Kristen Drive
North Providence, RI 02911-2932
Phone (401) 447-8569

National Provider Directory

National Provider Directory
Tax ID family
Bloomington Fire Department5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1235676289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KRISTEN DRIVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112932",
            "telephone_number": "401-447-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KRISTEN DR",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112932",
            "telephone_number": "401-447-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODUPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MODUPE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "401-447-8569",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "RI",
            "license": "RN42505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.