Organization Active NPI

Southern New England Healthcare for Women

  • Obstetrics & Gynecology Physician
  • Providence, RI
National Provider Identifier
1427441344
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
8926 Issued in RI
Legal business name
SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN
Practice address
695 Eddy St
Suite 21
Providence, RI 02903-4941
Phone
(401) 272-1550
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Dr. Constance Brennan, MD
Title
Physician
Phone
(401) 272-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 8926 RI Primary

Addresses

Primary practice location

695 Eddy St
Suite 21
Providence, RI 02903-4941

Mailing address

695 Eddy St
Suite 21
Providence, RI 02903-4941
Phone (401) 272-1550

Other identifiers 1

IdentifierTypeStateIssuer
9020313MedicaidRI

National Provider Directory

National Provider Directory

Locations

695 Eddy St
Ste 21
Providence, RI 02903
Phone (401) 272-1550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3516/brand/1/csg/24/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1427441344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 EDDY ST",
            "address_2": "SUITE 21",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034941",
            "telephone_number": "401-272-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 EDDY ST",
            "address_2": "SUITE 21",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034941",
            "telephone_number": "401-272-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW ENGLAND HEALTHCARE FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "401-272-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "8926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020313",
            "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 Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.