Active NPI
Jessie Freitas, RN
- Registered Nurse
- Pawtucket, RI
National Provider Identifier
1295549442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN57863
- Practice address
- 101 Bacon St
Pawtucket, RI 02860-5542 - Phone
- (401) 722-3560
- Fax
- (401) 722-3593
- NPI assigned
- Feb 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN57863 | RI | Primary |
Addresses
Primary practice location
101 Bacon St
Pawtucket, RI 02860-5542
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Other practice location 1
530 N Main St
Providence, RI 02904-5762
Phone (401) 274-2500
Other practice location 2
360 Duncan Dr
Providence, RI 02906-7003
Phone (401) 383-5150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN57863 | RI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1295549442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BACON ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605542",
"telephone_number": "401-722-3560",
"fax_number": "401-722-3593"
}
],
"practiceLocations": [
{
"address_1": "530 N Main St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029045762",
"country_code": "US",
"telephone_number": "401-274-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Duncan Dr",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029067003",
"country_code": "US",
"telephone_number": "401-383-5150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREITAS",
"first_name": "JESSIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN57863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.