Active NPI
Tina Marie Parker, NP
- Family Nurse Practitioner
- Pascoag, RI
National Provider Identifier
1386237154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN03023
- Practice address
- 36 Bridge Way
Pascoag, RI 02859-3131 - Phone
- (401) 567-0800
- NPI assigned
- Feb 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN03023 | RI | Primary |
Addresses
Primary practice location
36 Bridge Way
Pascoag, RI 02859-3131
Mailing address
45 Upper College Rd
Kingston, RI 02881-2003
Other practice location 1
101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220526001796 | RI | Practitioner - Nurse Practitioner | 2769860147 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Community Health Care | Current | Accepting new patients | |
| Northwest Community Health Care | Current | Accepting new patients | |
| Northwest Community Health Care | Current | Accepting new patients | |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | Accepting new patients |
Locations
36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800
101 Dudley St
Providence, RI 02905
Phone (401) 453-7950
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- Federally Qualified Health Center (FQHC)
- Scituate, RI
- NPI 1003362864
-
- Federally Qualified Health Center (FQHC)
- Foster, RI
- NPI 1821254525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1386237154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 UPPER COLLEGE RD",
"city": "KINGSTON",
"state": "RI",
"postal_code": "028812003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 BRIDGE WAY",
"city": "PASCOAG",
"state": "RI",
"postal_code": "028593131",
"telephone_number": "401-567-0800"
}
],
"practiceLocations": [
{
"address_1": "101 Dudley St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029052401",
"country_code": "US",
"telephone_number": "401-274-1122",
"fax_number": "401-453-7571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "TINA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-12",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN03023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pascoag, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.