Individual provider Active NPI

Carolyn A McGillivray, NP

  • Family Nurse Practitioner
  • East Greenwich, RI
National Provider Identifier
1265492425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPP 16726 Issued in RI
Practice address
1377 S County TRL
Suite 2B
East Greenwich, RI 02818-5082
Phone
(401) 884-8900
Fax
(401) 884-9199
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NPP 16726 RI Primary

Addresses

Primary practice location

1377 S County TRL
Suite 2B
East Greenwich, RI 02818-5082

Mailing address

1377 S County TRL
Suite 2B
East Greenwich, RI 02818-5082
Phone (401) 884-8900

Other identifiers 3

IdentifierTypeStateIssuer
NPP16726OtherRINURSEPRACTITIONER LICENSE
0000027423OtherRIBLUE CROSS/BLUE SHIELD
408095OtherRIBLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPP 16726RIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265492425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 S COUNTY TRL",
            "address_2": "SUITE 2B",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185082",
            "telephone_number": "401-884-8900",
            "fax_number": "401-884-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 S COUNTY TRL",
            "address_2": "SUITE 2B",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185082",
            "telephone_number": "401-884-8900",
            "fax_number": "401-884-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLIVRAY",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP 16726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSEPRACTITIONER LICENSE",
            "identifier": "NPP16726",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0000027423",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "408095",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.