Active NPI
Edna Illeana Gomez Duenas, FNP-C
- Family Nurse Practitioner
- Woonsocket, RI
National Provider Identifier
1316803075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN05040
- 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
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN05040 | RI | Primary |
| Nurse Practitioner | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2324655 | MA | MD | Nurse Practitioner |
| APRN05040 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - Ri Physicians Group, PC | Single Specialty | Current | 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.
-
- Primary Care Clinic/Center
- Warwick, RI
- NPI 1063984813
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.