Organization Active NPI

Inner Balance of Ri

  • Psychiatric/Mental Health Nurse Practitioner
  • South Kingstown, RI
National Provider Identifier
1265250682
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INNER BALANCE OF RI
Practice address
66 Main St Ste 202
South Kingstown, RI 02879-3651
Phone
(401) 251-0024
Fax
(401) 466-4027
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Andria Duarte, PMHNP-BCNPI 1811721897
Title
Owner
Phone
(401) 241-5660

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

66 Main St Ste 202
South Kingstown, RI 02879-3651

Mailing address

18 E Greenwich Ave Apt 2
West Warwick, RI 02893-5458
Phone (401) 241-5660

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1265250682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E GREENWICH AVE APT 2",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028935458",
            "telephone_number": "401-241-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAIN ST STE 202",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028793651",
            "telephone_number": "401-251-0024",
            "fax_number": "401-466-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER BALANCE OF RI",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "DUARTE",
        "authorized_official_first_name": "ANDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-241-5660",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.