Karen Diane Grande, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

61557 Issued in CT

Practice address

2 Wake Robin Rd
Lincoln, RI 02865-4241

Phone

(401) 333-9595

Fax

(401) 334-9595

NPI assigned

Dec 20, 2006

Last updated

Jul 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, CT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center of New England Primary Care Inc

  • Internal Medicine Physician
  • West Greenwich, RI
  • NPI 1699025650
  Medicare reassignment NPD
• Center of New England Urgent Care Inc

  • Urgent Care Clinic/Center
  • West Greenwich, RI
  • NPI 1417207580
  Medicare reassignment NPD
• North Providence Urgent Care

  • Urgent Care Clinic/Center
  • North Providence, RI
  • NPI 1528221470
  Medicare reassignment NPD
• Day Kimball Medical Group Inc

  • Family Medicine Physician
  • Putnam, CT
  • NPI 1376813972

  Internal Medicine

  Medicare reassignment NPD
• North Providence Primary Care Assoc Inc

  • Internal Medicine Physician
  • North Providence, RI
  • NPI 1902886757
  Medicare reassignment
• Prospect Chartercare RWMC, LLC

  dba Roger Williams Medical Center

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1285059287
  Medicare reassignment
• Masstex Imaging, LLC

  • Family Medicine Physician
  • Danvers, MA
  • NPI 1326091380

  RI

  Medicare reassignment
• VMD Primary Providers of Rhode Island PC

  • Family Medicine Physician
  • Cumberland, RI
  • NPI 1598341067

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1386708923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WAKE ROBIN RD",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654241",
            "telephone_number": "401-333-9595",
            "fax_number": "401-334-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WAKE ROBIN RD",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654241",
            "telephone_number": "401-333-9595",
            "fax_number": "401-334-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "KAREN",
        "middle_name": "DIANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD9511",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "61557",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "74972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deontae Gooden
• Tatiana Gooden
• Andrea Elizabeth Gorman, MS, RD, LDN
• Rosa Gough, LICSW
• Genevieve Grande
• Greater Providence Chapter, Riarc (John E. Fogarty Center)
• Sharon Gunasti, MD
• Margaret Hall, LMHC, LADC1
• Serina Hallbauer
• Carol J Hamel, O.D.

• Internal Medicine Physician in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.

Verify at the official NPI Registry.