Individual provider Active NPI

Jordan E Byrnes I, R-NP

  • Family Nurse Practitioner
  • Greenville, RI
National Provider Identifier
1265170492
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03400 Issued in RI
Practice address
5 Pleasant View Ave
Greenville, RI 02828-1905
Phone
(401) 600-1231
NPI assigned
May 26, 2022
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN03400 RI Primary

Addresses

Primary practice location

5 Pleasant View Ave
Greenville, RI 02828-1905

Mailing address

5 Pleasant View Ave
Greenville, RI 02828-1905
Phone (401) 600-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230119002940 RI Practitioner - Nurse Practitioner 1052782547 Reassigns benefits to 1 organization
I20231213001445 MA Practitioner - Nurse Practitioner 1052782547 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon LLC CurrentSince Oct 10, 2023 Accepting new patients
Atwood Medical Associates LTD CurrentSince Apr 1, 2023 Accepting new patients
Lifestyle Medicine of Rhode Island, LLC Family Medicine Past Accepting new patients

Locations

113 Washington St
Ste 1
Foxboro, MA 02035
Phone (774) 215-5579

113 Washington St
Foxborough, MA 02035
Phone (508) 543-1553

1524 Atwood Ave
Ste 220
Johnston, RI 02919
Phone (401) 272-1900

1524 Atwood Ave
Ste 225
Johnston, RI 02919
Phone (401) 272-5468

1524 Atwood Ave
Ste 340
Johnston, RI 02919
Phone (401) 272-5468

1524 Atwood Ave
Providence, RI 02919
Phone (401) 272-2110

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1265170492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PLEASANT VIEW AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281905",
            "telephone_number": "401-600-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PLEASANT VIEW AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281905",
            "telephone_number": "401-600-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNES",
        "first_name": "JORDAN",
        "middle_name": "E",
        "name_suffix": "I",
        "credential": "R-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, RI

Sources for this page

Verify at the official NPI Registry.