Active NPI
Jennifer Poillucci, CNP, FNP-C
- Family Nurse Practitioner
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN04386
- Practice address
- 345 Blackstone Blvd
Providence, RI 02906-4800 - Phone
- (401) 680-6502
- Fax
- (401) 455-6309
- NPI assigned
- Jul 13, 2015
- Last updated
- Aug 20, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN216727 | MA | |
| Family Nurse Practitioner | 363LF0000X | APRN04386 | RI | Primary |
Addresses
Primary practice location
345 Blackstone Blvd
Providence, RI 02906-4800
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 273-0641
Other practice location 1
266 Route 44
Raynham, MA 02767-1403
Phone (866) 389-2727
Other practice location 2
72 Washington St
Taunton, MA 02780-2491
Phone (508) 828-7000
Other practice location 3
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
Other practice location 4
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
455 Tollgate Rd
Warwick, RI 02886-2759
88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Physicians LLC | Current | Accepting new patients | |
| Sound Physicians of Massachusetts, Inc | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Lifespan Physician Group of Massachusetts Inc | Current | Accepting new patients | |
| Sound Physicians of Massachusetts, Inc | Current | Accepting new patients | |
| Sound Physicians of Massachusetts II PC | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Sound Physicians of Massachusetts Inc | Current | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6200
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1184944662
-
dba Brown Health Medical Group
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1306376397
-
dba Sound Physicians
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- Internal Medicine Physician
- Holyoke, MA
- NPI 1184178386
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1245784446
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kent County Hospital Rehab Unit
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1467836254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862759",
"telephone_number": "401-273-0641",
"fax_number": "401-273-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 BLACKSTONE BLVD",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064800",
"telephone_number": "401-680-6502",
"fax_number": "401-455-6309"
}
],
"practiceLocations": [
{
"address_1": "266 Route 44",
"address_purpose": "LOCATION",
"city": "Raynham",
"state": "MA",
"postal_code": "027671403",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "72 Washington St",
"address_purpose": "LOCATION",
"city": "Taunton",
"state": "MA",
"postal_code": "027802491",
"country_code": "US",
"telephone_number": "508-828-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "88 Washington St",
"address_purpose": "LOCATION",
"city": "Taunton",
"state": "MA",
"postal_code": "02780",
"country_code": "US",
"telephone_number": "508-828-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7010",
"fax_number": "401-736-4546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POILLUCCI",
"first_name": "JENNIFER",
"credential": "CNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN216727",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN04386",
"primary": true
}
],
"identifiers": [],
"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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.