Marie Archambault

Key facts

NPI

1356976492

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Registered Nurse 163WP0200X

License

RN54585 (RI)

Practice address

195 Whipple Rd
Smithfield, RI 02917-2360

Phone

(401) 692-5238

NPI assigned

Mar 9, 2020

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 9, 2020.

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1356976492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 WHIPPLE RD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172360",
            "telephone_number": "401-692-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WHIPPLE RD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172360",
            "telephone_number": "401-692-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHAMBAULT",
        "first_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "RI",
            "license": "RN54585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

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• Peter Ameck, NP
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• Laurie Tina Anderson, CNP
• Michael M Andrade, LICSW
• Rebekah Jo Arrigo
• Sarah D Arruda, DPT
• Aslc Ri II LLC
• Atwill Conroy Smithfield
• Michael Atwill, D.D.S.

All providers in Smithfield, RI · Pediatric Registered Nurse in Rhode Island