Active NPI
Aleksandra Maria Predota, NP
- Family Nurse Practitioner
- Portsmouth, RI
National Provider Identifier
1285257345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2274173
- Practice address
- 123 Highland Ave
Portsmouth, RI 02871-4427 - Phone
- (508) 364-3278
- Fax
- (401) 356-3323
- NPI assigned
- May 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN51144 | RI | |
| Family Nurse Practitioner | 363LF0000X | RN2274173 | MA | Primary |
Addresses
Primary practice location
123 Highland Ave
Portsmouth, RI 02871-4427
Mailing address
123 Highland Ave
Portsmouth, RI 02871-4427
Phone (508) 364-3278
Other practice location 1
8 E Washington St
North Attleboro, MA 02760-2314
Phone (508) 695-1481
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN51144 | RI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1285257345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 HIGHLAND AVE",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028714427",
"telephone_number": "508-364-3278",
"fax_number": "401-356-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 HIGHLAND AVE",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028714427",
"telephone_number": "508-364-3278",
"fax_number": "401-356-3323"
}
],
"practiceLocations": [
{
"address_1": "8 E Washington St",
"address_purpose": "LOCATION",
"city": "North Attleboro",
"state": "MA",
"postal_code": "027602314",
"country_code": "US",
"telephone_number": "508-695-1481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PREDOTA",
"first_name": "ALEKSANDRA",
"middle_name": "MARIA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-24",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN51144",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2274173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.