Active NPI
Unique Diversity Innovation LLC
- Community Health Clinic/Center
- Providence, RI
National Provider Identifier
1376430470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- UNIQUE DIVERSITY INNOVATION LLC
- Practice address
- 715 Branch Ave
Providence, RI 02904-2248 - Phone
- (508) 345-4151
- NPI assigned
- Jun 20, 2025
- 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
- Shanee S Vega, LPIM
- Title
- Ceo
- Phone
- (508) 345-4151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | Primary |
Addresses
Primary practice location
715 Branch Ave
Providence, RI 02904-2248
Mailing address
715 Branch Ave
Providence, RI 02904-2248
Phone (508) 345-4151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SH23373 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
715 Branch Ave
Providence, RI 02904
Phone (401) 525-6553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750377600000",
"number": "1376430470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 BRANCH AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042248",
"telephone_number": "508-345-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 BRANCH AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042248",
"telephone_number": "508-345-4151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIQUE DIVERSITY INNOVATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A",
"authorized_official_last_name": "VEGA",
"authorized_official_first_name": "SHANEE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-345-4151",
"authorized_official_credential": "LPIM"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SH23373",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
- Jody A. Underwood, MD
- Undividual Inc
- Jennifer Anna Unger, MD
- William S Unger, PH.D.
- Carmen I Ungureanu
- United Cerebral Palsy of Rhode Island, Inc.
- United Sleep Diagnostics, Inc.
- United Woundcare Institute Rhode Island PLLC
- Uniting Community Development & Improvement
- Universal Ambulance Service, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.