Michael Alexander Anthony

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN04287 Issued in RI

Practice address

113 Wickenden St
Providence, RI 02903-4364

Phone

(401) 453-0120

NPI assigned

Nov 18, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jonathan P Brower MD LLC

  • Plastic and Reconstructive Surgery Physician
  • Providence, RI
  • NPI 1215540307
  NPD

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1265257943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WICKENDEN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034364",
            "telephone_number": "401-453-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WICKENDEN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034364",
            "telephone_number": "401-453-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "RI",
            "license": "APRN04287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Antepenko
• Benjamin Davis Anthony, NP
• Douglas C Anthony, MD
• Jenna M Anthony
• Jennifer Lynn Anthony, PHD
• Molly Anthony
• Anthony's Pharmacy LLC
• Alesia Antoine
• Emanuela Donata Antonellis
• Nicolas Antonellis

• Primary Care Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Primary Care Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.