Active NPI
Kristin A. Gianelis, DNP
- Women's Health Nurse Practitioner
- Barrington, RI
National Provider Identifier
1447303912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APRN00755
- Practice address
- 51 Hawthorne Ave
Barrington, RI 02806-4869 - Phone
- (401) 343-0058
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 258386 | MA | |
| Women's Health Nurse Practitioner | 363LW0102X | APRN00755 | RI | Primary |
Addresses
Primary practice location
51 Hawthorne Ave
Barrington, RI 02806-4869
Mailing address
51 Hawthorne Ave
Barrington, RI 02806-4869
Phone (401) 343-0058
Other practice location 1
1 Randall Sq
Providence, RI 02904-2709
Phone (401) 274-6339
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0711306 | Medicaid | MA | |
| 132525 | Other | FALLON | |
| 042297845 | Other | HCVM/FIRST HEALTH/COVENTY | |
| 042297845 | Other | PHCS/MULTI-PLAN | |
| 042297845 | Other | TRICARE | |
| NP560501 | Other | MEDICARE | |
| SS0046 | Other | BCBSMA |
Other names 1
- Ms. Kristin Ann Abbott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258386 | MA | MD | Nurse Practitioner |
| APRN00755 | RI | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Wellness for Humans, LLC | Women's Health | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Women's Health Nurse Practitioner
- Barrington, RI
- NPI 1508656695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1447303912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 HAWTHORNE AVE",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028064869",
"telephone_number": "401-343-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 HAWTHORNE AVE",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028064869",
"telephone_number": "401-343-0058"
}
],
"practiceLocations": [
{
"address_1": "1 Randall Sq",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029042709",
"country_code": "US",
"telephone_number": "401-274-6339",
"fax_number": "401-273-2919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIANELIS",
"first_name": "KRISTIN",
"middle_name": "A.",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "258386",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "RI",
"license": "APRN00755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0711306",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "132525",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM/FIRST HEALTH/COVENTY",
"identifier": "042297845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS/MULTI-PLAN",
"identifier": "042297845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "042297845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NP560501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "SS0046",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "ABBOTT",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Barrington, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.