Kayla Rose-Elaine Vicino, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN01733 Issued in RI

Practice address

126 Prospect St Ste 202
Pawtucket, RI 02860-4429

Phone

(401) 728-9208

NPI assigned

Jan 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Encompass Pediatrics, LLC.

  dba Encompass Family Medicine

  • Family Medicine Physician
  • Pawtucket, RI
  • NPI 1659882504
  NPD (past)

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1487191367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST",
            "address_2": "SUITE 202",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-728-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST STE 202",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604429",
            "telephone_number": "401-728-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICINO",
        "first_name": "KAYLA",
        "middle_name": "ROSE-ELAINE",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2306249",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "RI",
            "license": "APRN01733",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2306249",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN56441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Yvette Ventura-Tesillo, LCSW
• Melissa Veras Martinez, LCSW
• John Verbeyst, DMD
• Nowai Vessiales
• Veteran Medical Specialists (VMS)
• Lori Vieira
• Noelani Vieira
• Howard Marcus Vincent, DMD
• Violet SNF Holdco LLC
• Elisa Marie Virgilio, DPT

• Pediatric Nurse Practitioner in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Pediatric Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.