Active NPI
Tara Nimiroski, RN PRACTIONER
- Acute Care Nurse Practitioner
- Johnston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 37254
- Practice address
- 1524 Atwood Ave Ste 220
Johnston, RI 02919-3278 - Phone
- (401) 272-1900
- Fax
- (401) 453-3049
- NPI assigned
- Jul 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 37254 | RI | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 198513 | MA |
Addresses
Primary practice location
1524 Atwood Ave Ste 220
Johnston, RI 02919-3278
Mailing address
1524 Atwood Ave Ste 220
Johnston, RI 02919-3278
Phone (401) 272-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412033 | Other | B CHIP | |
| 29071 | Other | BC |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1524 Atwood Ave
Suite 220
Johnston, RI 02919-3288
Phone (401) 272-1900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198513 | MA | MD | Acute Care Nurse Practitioner |
| 37254 | RI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Chartercare Sjhsri, LLC | Current | Accepting new patients | |
| Atwood Medical Associates LTD | Current | Accepting new patients | |
| Prospect Chartercare Sjhsri, LLC | Current | Accepting new patients |
Locations
1524 Atwood Ave
Ste 220
Johnston, RI 02919
Phone (401) 272-1900
2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747
6 Blackstone Valley Pl
Ste 706
Lincoln, RI 02865
200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Johnston, RI
- NPI 1558386227
-
- Internal Medicine Physician
- North Providence, RI
- NPI 1588089759
-
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1295750867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE STE 220",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193278",
"telephone_number": "401-272-1900",
"fax_number": "401-453-3049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE STE 220",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193278",
"telephone_number": "401-272-1900",
"fax_number": "401-453-3049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMIROSKI",
"first_name": "TARA",
"credential": "RN PRACTIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "RI",
"license": "37254",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "198513",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B CHIP",
"identifier": "412033",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "29071",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.