Individual provider Active NPI

Naomi Stasia Siwy, FNP-C

  • Nurse Practitioner
  • Providence, RI
National Provider Identifier
1326615246
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN04181 Issued in RI
Practice address
66 Branch Ave Ste 150
Providence, RI 02904-2756
Phone
(401) 606-2590
Fax
(401) 606-2591
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 RN2287422 MA
Nurse Practitioner 363L00000X APRN04181 RI Primary

Addresses

Primary practice location

66 Branch Ave Ste 150
Providence, RI 02904-2756

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210806001250 MA Practitioner - Nurse Practitioner 1456755834 Reassigns benefits to 3 organizations
I20240911002447 RI Practitioner - Nurse Practitioner 1456755834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

66 Branch Ave
Suite 150
Providence, RI 02904-2756
Phone (401) 606-2590

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Oct 6, 2024 Accepting new patients
Lifespan Physician Group, Inc. Nurse Practitioner CurrentSince Oct 6, 2024 Accepting new patients
Atrius Health, Inc. Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Atrius Health, Inc. Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Minuteclinic Diagnostic of Massachusetts LLC Family CurrentSince Jun 21, 2021 Accepting new patients
Lifespan Corporation Current Accepting new patients
Atrius Health, Inc. Nurse Practitioner Current Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

270 Grove St
Braintree, MA 02184
Phone (781) 356-0714

311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100

1479 Newman Ave
Seekonk, MA 02771
Phone (508) 399-8801

1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221

1360 W Main Rd
Middletown, RI 02842
Phone (401) 606-3110

66 Branch Ave
Ste 150
Providence, RI 02904
Phone (401) 606-2590

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

17 Airport Rd
Warwick, RI 02889
Phone (401) 606-2520

Interoperability endpoints

  • Direct secure messaging: nsiwynp372775@direct.atrius.masshiway.net
  • Direct secure messaging: nsiwy168212@brownhealth.medalliesdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1326615246",
    "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",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRANCH AVE STE 150",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042756",
            "telephone_number": "401-606-2590",
            "fax_number": "401-606-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIWY",
        "first_name": "NAOMI",
        "middle_name": "STASIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2287422",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN04181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.