Active NPI
Cynthia A Esteban, NP
- Pediatric Nurse Practitioner
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN00198
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-6195
- NPI assigned
- Jun 6, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 242411 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | 37233 | RI | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN00198 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
340 Wood Rd
Braintree, MA 02184-2401
Phone (617) 726-8707
Other practice location 1
340 Wood Rd
Braintree, MA 02184-2401
Phone (617) 726-8707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE51834 | Medicaid | RI |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37233 | RI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
1 Hoppin St
Providence, RI 02903
Phone (401) 444-3996
593 Eddy St
Providence, RI 02903
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
Interoperability endpoints
- cesteban8686@brownhealth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Providence, RI
- NPI 1861420333
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1407895048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 WOOD RD",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021842401",
"telephone_number": "617-726-8707",
"fax_number": "617-724-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-6195"
}
],
"practiceLocations": [
{
"address_1": "340 Wood Rd",
"address_purpose": "LOCATION",
"city": "Braintree",
"state": "MA",
"postal_code": "021842401",
"country_code": "US",
"telephone_number": "617-726-8707",
"fax_number": "617-724-2803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTEBAN",
"first_name": "CYNTHIA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "242411",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "RI",
"license": "37233",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "RI",
"license": "APRN00198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CE51834",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.