Individual provider Active NPI

Raejean Elizabeth Sparrow, APRN

  • Nurse Practitioner
  • Cranston, RI
National Provider Identifier
1447845037
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN02322 Issued in RI
Practice address
1150 Reservoir Ave
Cranston, RI 02920-6068
Phone
(401) 943-1300
Fax
(401) 946-8480
NPI assigned
Mar 4, 2021
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN02322 RI Primary
Family Nurse Practitioner 363LF0000X APRN02322 RI

Addresses

Primary practice location

1150 Reservoir Ave
Cranston, RI 02920-6068

Mailing address

PO Box 202230
Dallas, TX 75320-2230
Phone (401) 943-1300

Other practice location 1

360 Kingstown Rd Unit 202
Narragansett, RI 02882-3258
Phone (401) 789-1860

Other practice location 2

70 Kenyon Ave Unit 324
Wakefield, RI 02879-4253
Phone (401) 788-8780

Other practice location 3

268 Post Rd Ste 204
Westerly, RI 02891-6601
Phone (401) 789-1860

Other practice location 4

3461 S County Trl Ste 301
East Greenwich, RI 02818-1463
Phone (401) 943-1301

Other names 1

  • Raejean Elizabeth Pearse-Theroux Former name

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
I20210622000567 RI Practitioner - Nurse Practitioner 3971904475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Gastroenterology, LLCGroup PAC ID 3678762804, 99 clinicians
Internal Medicine Associates IncGroup PAC ID 9234029257, 7 clinicians

Practice addresses (Care Compare)

1150 Reservoir Ave
Cranston, RI 02920-6068
Phone (401) 943-1300

360 Kingstown Rd
Suite 202And204
Narragansett, RI 02882-3239
Phone (401) 789-1860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN02322RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates Inc CurrentSince Feb 6, 2023 Accepting new patients
University Gastroenterology, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1150 Reservoir Ave
Cranston, RI 02920
Phone (401) 259-0340

1150 Reservoir Ave
Ste 201
Cranston, RI 02920
Phone (401) 943-1303

3461 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 471-6850

3461 S County Trl
Ste 301
East Greenwich, RI 02818
Phone (401) 471-6285

360 Kingstown Rd
Ste 202204
Narragansett, RI 02882
Phone (401) 789-1860

360 Kingstown Rd
Unit 202
Narragansett, RI 02882
Phone (401) 789-1860

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

268 Post Rd
Ste 204
Westerly, RI 02891
Phone (401) 604-2500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1447845037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753202230",
            "telephone_number": "401-943-1300",
            "fax_number": "401-946-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206068",
            "telephone_number": "401-943-1300",
            "fax_number": "401-946-8480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Kingstown Rd Unit 202",
            "address_purpose": "LOCATION",
            "city": "Narragansett",
            "state": "RI",
            "postal_code": "028823258",
            "country_code": "US",
            "telephone_number": "401-789-1860",
            "fax_number": "401-782-6850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Kenyon Ave Unit 324",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794253",
            "country_code": "US",
            "telephone_number": "401-788-8780",
            "fax_number": "401-788-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "268 Post Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Westerly",
            "state": "RI",
            "postal_code": "028916601",
            "country_code": "US",
            "telephone_number": "401-789-1860",
            "fax_number": "401-789-2226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3461 S County Trl Ste 301",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028181463",
            "country_code": "US",
            "telephone_number": "401-943-1301",
            "fax_number": "401-228-7109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARROW",
        "first_name": "RAEJEAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN02322",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAEJEAN",
            "last_name": "PEARSE-THEROUX",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.