Individual provider Active NPI

Shelby Defaria

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1376233817
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03210 Issued in RI
Practice address
2870 Post Rd
Warwick, RI 02886-3169
Phone
(401) 352-0007
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN03210 RI Primary

Addresses

Primary practice location

2870 Post Rd
Warwick, RI 02886-3169

Mailing address

2 Rosemary St
Coventry, RI 02816-6043
Phone (401) 219-2650

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531002308 RI Practitioner - Nurse Practitioner 8729445192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Warwick Pain Associates LLCGroup PAC ID 4880744960, 10 clinicians

Practice addresses (Care Compare)

2870 Post Rd
Warwick, RI 02886-3169
Phone (401) 352-0007

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN03210RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warwick Pain Associates LLC CurrentSince Jun 1, 2023 Accepting new patients
C&S Anesthesia LLC CurrentSince May 14, 2023 Accepting new patients

Locations

2870 Post Rd
Warwick, RI 02886
Phone (401) 298-8869

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFCDCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1376233817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROSEMARY ST",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166043",
            "telephone_number": "401-219-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863169",
            "telephone_number": "401-352-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFARIA",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.