Jacquelyn Marie Silva, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD17054 Issued in RI

Practice address

1 Commerce St Ste 100
Lincoln, RI 02865-1186

Phone

(401) 793-8484

NPI assigned

Jun 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1285015354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMERCE ST STE 100",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651186",
            "telephone_number": "401-793-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMERCE ST STE 100",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651186",
            "telephone_number": "401-793-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Main St",
            "address_purpose": "LOCATION",
            "city": "Hope Valley",
            "state": "RI",
            "postal_code": "028321920",
            "country_code": "US",
            "telephone_number": "401-539-2461",
            "fax_number": "401-539-0493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD17054",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125067168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacquelyn.silva.1@10.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "address_1": "1 Commerce St Ste 100",
            "city": "Lincoln",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028651186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sebastian J Shoup
• Larry M Shushansky, LICSW
• Gail Sidney, LMHC
• Stacie Siedzik, PHARMD
• Mirelys Sierra
• Roxanne Marie Simmons, MD
• Christine Renee Simone
• Rosindah Singh
• Sleep Therapeutics, LLC
• Tyler J Sliney, D.C.

• Pediatrics Physician in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.