Active NPI
Thundermist Health Center
- Federally Qualified Health Center (FQHC)
- Woonsocket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- THUNDERMIST HEALTH CENTER
- Practice address
- 450 Clinton St
Woonsocket, RI 02895-3207 - Phone
- (401) 767-4100
- NPI assigned
- Sep 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ckarla Agudelo
- Title
- Director of Credentialing
- Phone
- (401) 767-4100
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
450 Clinton St
Woonsocket, RI 02895-3207
Mailing address
25 John a Cummings Way Ste 203
Woonsocket, RI 02895-3244
Phone (401) 767-4100
Other practice location 1
1 River St
Wakefield, RI 02879-3214
Phone (401) 767-4100
Other practice location 2
186 Providence St
West Warwick, RI 02893-2508
Phone (401) 615-2800
Other practice location 3
360 Kingstown Rd Unit 101
Narragansett, RI 02882-3258
Phone (401) 789-6492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4101805 | Medicaid | RI |
National Provider Directory
National Provider Directory- Tax ID family
- Thundermist Health Center
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Narragansett, RI
- NPI 1265190292
-
- Federally Qualified Health Center (FQHC)
- West Warwick, RI
- NPI 1376708560
-
- Dental Clinic/Center
- Woonsocket, RI
- NPI 1457522989
-
- Federally Qualified Health Center (FQHC)
- Wakefield, RI
- NPI 1700041001
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Woonsocket, RI
- NPI 1053370973
-
- Midwife
- Greenbrae, CA
- NPI 1497709844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1366056830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 JOHN A CUMMINGS WAY STE 203",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953244",
"telephone_number": "401-767-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLINTON ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953207",
"telephone_number": "401-767-4100"
}
],
"practiceLocations": [
{
"address_1": "1 River St",
"address_purpose": "LOCATION",
"city": "Wakefield",
"state": "RI",
"postal_code": "028793214",
"country_code": "US",
"telephone_number": "401-767-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "186 Providence St",
"address_purpose": "LOCATION",
"city": "West Warwick",
"state": "RI",
"postal_code": "028932508",
"country_code": "US",
"telephone_number": "401-615-2800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Kingstown Rd Unit 101",
"address_purpose": "LOCATION",
"city": "Narragansett",
"state": "RI",
"postal_code": "028823258",
"country_code": "US",
"telephone_number": "401-789-6492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THUNDERMIST HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-02",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "AGUDELO",
"authorized_official_first_name": "CKARLA",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "401-767-4100"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4101805",
"state": "RI"
}
],
"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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.