Individual provider Active NPI

Brenda Anne Bliss, FNP

  • Family Nurse Practitioner
  • Narragansett, RI
National Provider Identifier
1447078076
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN04217 Issued in RI
Practice address
360 Kingstown Rd Unit 104
Narragansett, RI 02882-3258
Phone
(401) 594-2200
Fax
(401) 289-8624
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN04217 RI Primary

Addresses

Primary practice location

360 Kingstown Rd Unit 104
Narragansett, RI 02882-3258

Mailing address

360 Kingstown Rd Unit 104
Narragansett, RI 02882-3258
Phone (401) 594-2200

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
I20241021002893 RI Order and Referring Only - Nurse Practitioner 8628500295

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keith L. Callahan M.D., P.C.Group PAC ID 3779670666, 3 clinicians

Practice addresses (Care Compare)

360 Kingstown Rd
Unit 104
Narragansett, RI 02882-3258
Phone (401) 594-2200

Hospital & facility affiliations

  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN04217RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Primary Care LLC Internal Medicine CurrentSince Oct 6, 2024 Accepting new patients

Locations

300 Toll Gate Rd
Ste 202
Warwick, RI 02886
Phone (401) 732-0660

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1447078076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 KINGSTOWN RD UNIT 104",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823258",
            "telephone_number": "401-594-2200",
            "fax_number": "401-289-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 KINGSTOWN RD UNIT 104",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823258",
            "telephone_number": "401-594-2200",
            "fax_number": "401-289-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "BRENDA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narragansett, RI

Sources for this page

Verify at the official NPI Registry.