Kira E Provost, RN, LCMT

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN26228 Issued in RI

Practice address

1145 Reservoir Ave
Suite 300
Cranston, RI 02920-6055

Phone

(401) 943-2500

Fax

(401) 942-2227

NPI assigned

Jul 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1215216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1275796740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WHITMAN ST",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029173813",
            "telephone_number": "401-486-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 RESERVOIR AVE",
            "address_2": "SUITE 300",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206055",
            "telephone_number": "401-943-2500",
            "fax_number": "401-942-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "KIRA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RN, LCMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-05",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN26228",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "RI",
            "license": "MT01762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Therapy Services, Inc
• Teresa Jean Proctor, PT
• Kimberly Anna Propert, MSN, FNP-BC
• Prospect Chartercare Physicians, LLC (CharterCARE Medical Associates)
• Providence Fertility Institute Inc
• Matthew P Provost, MS,CCC-SLP
• Psychological Support Services
• Barbara E Puddicombe, OTR/L
• Albert Joseph Puerini Jr., M.D.
• Stephen J Puerini Jr., DMD

• Registered Nurse in Cranston, RI
• Providers in Cranston, RI by specialty
• Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.