Active NPI
Kenisha Latoya Starks, FNP-BC
- Nurse Practitioner
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN04337
- Practice address
- 1030 President Ave Ste 1001
Fall River, MA 02720-5928 - Phone
- (508) 973-9650
- NPI assigned
- May 9, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN04337 | RI | Primary |
Addresses
Primary practice location
1030 President Ave Ste 1001
Fall River, MA 02720-5928
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 273-0641
Other practice location 1
100 Dudley St Fl 3
Providence, RI 02905-3233
Phone (401) 453-7953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN04337 | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Women & Infants Hospital of Rhode Island | Past | Accepting new patients |
Locations
387 Quarry St
Ste 100
Fall River, MA 02723
Phone (508) 679-8111
1030 President Ave
Ste 1001
Fall River, MA 02720
Phone (508) 973-9650
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
100 Dudley St
Fl 3
Providence, RI 02905
100 Dudley St
Fl 3-3
Providence, RI 02905
Phone (401) 453-3795
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1336885722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862759",
"telephone_number": "401-273-0641",
"fax_number": "401-273-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 PRESIDENT AVE STE 1001",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205928",
"telephone_number": "508-973-9650"
}
],
"practiceLocations": [
{
"address_1": "100 Dudley St Fl 3",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029053233",
"country_code": "US",
"telephone_number": "401-453-7953",
"fax_number": "401-453-7790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARKS",
"first_name": "KENISHA",
"middle_name": "LATOYA",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "APRN04337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.