Individual provider Active NPI

Tara Scungio, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Kingston, RI
National Provider Identifier
1427300367
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN03312 Issued in RI
Practice address
6 Butterfield Rd
Kingston, RI 02881-1976
Phone
(401) 874-2246
NPI assigned
Oct 2, 2012
Reactivated
Mar 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01570 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN03312 RI Primary

Addresses

Primary practice location

6 Butterfield Rd
Kingston, RI 02881-1976

Mailing address

6 Butterfield Rd
Kingston, RI 02881-1976
Phone (401) 874-2246

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
I20221222000207 RI Practitioner - Nurse Practitioner 1254313489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01570RIMDClinical Social Worker
APRN03312RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Behavioral Health CurrentSince Oct 31, 2022 Accepting new patients
State of Rhode Island PastSince Jun 30, 2024 Accepting new patients
Christine Richards LLC PastSince Jul 1, 2021 Accepting new patients

Locations

75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778

Organizations & group practices 3

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": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1427300367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUTTERFIELD RD",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028811976",
            "telephone_number": "401-874-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUTTERFIELD RD",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "028811976",
            "telephone_number": "401-874-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUNGIO",
        "first_name": "TARA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "deactivation_date": "2018-08-22",
        "reactivation_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01570",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN03312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, RI

Sources for this page

Verify at the official NPI Registry.