Active NPI
Lamara Ford, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN03588
- Practice address
- 194 Waterman St
Providence, RI 02906-4015 - Phone
- (401) 386-9105
- NPI assigned
- Dec 3, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 308 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0996359 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN03588 | RI | Primary |
Addresses
Primary practice location
194 Waterman St
Providence, RI 02906-4015
Mailing address
194 Waterman St Ste 11
Providence, RI 02906-4015
Other practice location 1
345 Blackstone Blvd
Providence, RI 02906-4800
Phone (401) 455-6200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcford@kent.cernerdirect.carene.org | Health Information Exchange (HIE) |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0996359 | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC. | Social Worker | Current | Accepting new patients |
| Lamara Ford Aprn LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Affinity Physicians LLC | Current | Accepting new patients |
Locations
194 Waterman St
Ste 11
Providence, RI 02906
Phone (401) 386-9105
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375
205 Waterman St
Ste 204
Providence, RI 02906
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Interoperability endpoints
- lcford@kent.cernerdirect.carene.org
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Providence, RI
- NPI 1790460822
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1356748545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 WATERMAN ST STE 11",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 WATERMAN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064015",
"telephone_number": "401-386-9105"
}
],
"practiceLocations": [
{
"address_1": "345 Blackstone Blvd",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029064800",
"country_code": "US",
"telephone_number": "401-455-6200",
"fax_number": "401-455-6689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORD",
"first_name": "LAMARA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-03",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "308",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.0996359",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN03588",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lcford@kent.cernerdirect.carene.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "345 Blackstone Blvd",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029064800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.