Active NPI
Kristin Evelyn Macdonald, FNP-BC
- Family Nurse Practitioner
- Lincoln, RI
National Provider Identifier
1245872787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN02280
- Practice address
- 6 Blackstone Valley PL Ste 701
Lincoln, RI 02865-1170 - Phone
- (401) 333-3111
- Fax
- (401) 334-1217
- NPI assigned
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN02280 | RI | Primary |
Addresses
Primary practice location
6 Blackstone Valley PL Ste 701
Lincoln, RI 02865-1170
Mailing address
6 Blackstone Valley PL Ste 701
Lincoln, RI 02865-1170
Phone (401) 333-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN02280 | Other | RI | LICENSE |
Other names 1
- Kristin Evelyn Martinis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmacdonald221060@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Massachusetts Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6 Blackstone Valley PL
Suite 701
Lincoln, RI 02865-1170
Phone (401) 333-3111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN02280 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Medical Physicians, Inc. | Current | Accepting new patients | |
| Coastal Medical Physicians, Inc. | Family | Current | Accepting new patients |
| Lifespan Corporation | Current | Accepting new patients | |
| Coastal Medical, Inc. | Past | Accepting new patients |
Locations
900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480
6 Blackstone Valley Pl
Ste 700
Lincoln, RI 02865
6 Blackstone Valley Pl
Ste 701
Lincoln, RI 02865
Phone (401) 333-3111
Interoperability endpoints
- kmacdonald221060@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.
-
- Internal Medicine Physician
- Riverside, RI
- NPI 1093678104
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
- Non-Pharmacy Dispensing Site
- East Providence, RI
- NPI 1144361718
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1245872787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BLACKSTONE VALLEY PL STE 701",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028651170",
"telephone_number": "401-333-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BLACKSTONE VALLEY PL STE 701",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028651170",
"telephone_number": "401-333-3111",
"fax_number": "401-334-1217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "KRISTIN",
"middle_name": "EVELYN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN02280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "APRN02280",
"state": "RI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmacdonald221060@direct.lifespan.org",
"affiliation": "N",
"address_1": "6 Blackstone Valley Pl Ste 701",
"city": "Lincoln",
"state": "RI",
"country_code": "US",
"postal_code": "028651170",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "MARTINIS",
"middle_name": "EVELYN",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.