Individual provider Active NPI

Edna Illeana Gomez Duenas, FNP-C

  • Family Nurse Practitioner
  • Woonsocket, RI
National Provider Identifier
1316803075
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN05040 Issued in RI
Practice address
2000 Diamond Hill Rd Ste 18
Woonsocket, RI 02895-1554
Phone
(401) 470-7116
NPI assigned
Dec 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN05040 RI Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN2324655 MA

Addresses

Primary practice location

2000 Diamond Hill Rd Ste 18
Woonsocket, RI 02895-1554

Mailing address

PO Box 746088
Atlanta, GA 30374-6088
Phone (469) 727-6675

Other practice location 1

35 Pembroke Ave Apt 3R
Providence, RI 02908-2934
Phone (760) 625-8508

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416003951 RI Practitioner - Nurse Practitioner 8527534502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - Ri Physicians Group PCGroup PAC ID 5193051936, 32 clinicians

Practice addresses (Care Compare)

2000 Diamond Hill Rd
Suite 18
Woonsocket, RI 02895-1554
Phone (401) 470-7116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2324655MAMDNurse Practitioner
APRN05040RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - Ri Physicians Group, PC Single Specialty CurrentSince Nov 24, 2025 Accepting new patients

Locations

2000 Diamond Hill Rd
Ste 18
Woonsocket, RI 02895
Phone (401) 470-7116

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.

NPI Registry JSON

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1316803075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746088",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746088",
            "telephone_number": "469-727-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DIAMOND HILL RD STE 18",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028951554",
            "telephone_number": "401-470-7116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Pembroke Ave Apt 3R",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029082934",
            "country_code": "US",
            "telephone_number": "760-625-8508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ DUENAS",
        "first_name": "EDNA",
        "middle_name": "ILLEANA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-26",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN05040",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2324655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.