Individual provider Active NPI

Christie A.W. Rishworth, RN, FNP

  • Family Nurse Practitioner
  • North Kingstown, RI
National Provider Identifier
1487683173
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CAPRN01087 Issued in RI
Practice address
308 Callahan Rd
North Kingstown, RI 02852-7739
Phone
(401) 295-9706
Fax
(401) 295-0920
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPP37287 RI
Nurse Practitioner 363L00000X APRN01087 RI
Family Nurse Practitioner 363LF0000X CAPRN01087 RI Primary

Addresses

Primary practice location

308 Callahan Rd
North Kingstown, RI 02852-7739

Mailing address

32 Woodmont Dr
North Kingstown, RI 02852-6943
Phone (401) 294-0817

Other practice location 1

101 Dudley St
Providence, RI 02905-2401
Phone (401) 453-7950

Other identifiers 3

IdentifierTypeStateIssuer
9004056MedicaidRI
APRN01087MedicaidRI
NPP37287OtherRINURSE PRACTITIONER LICENS

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
I20050412000162 RI Practitioner - Nurse Practitioner 6901843994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care I of Rhode Island PCGroup PAC ID 1951793546, 53 clinicians

Practice addresses (Care Compare)

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 298-4375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN01087RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Apr 28, 2024 Accepting new patients
Affinity Physicians LLC. CurrentSince Apr 28, 2024 Accepting new patients
Life Line Community Healthcare New Jersey, LLC Nurse Practitioner CurrentSince May 6, 2016 Accepting new patients
Supportive Care I of Rhode Island PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

70 Niagara St
Ste 13
Buffalo, NY 14202

6111 Oak Tree Blvd
Ste 301
Independence, OH 44131
Phone (216) 581-6556

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

215 Toll Gate Rd
Ste 106
Warwick, RI 02886
Phone (401) 732-5600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1487683173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WOODMONT DR",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028526943",
            "telephone_number": "401-294-0817",
            "fax_number": "401-295-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CALLAHAN RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028527739",
            "telephone_number": "401-295-9706",
            "fax_number": "401-295-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-453-7950",
            "fax_number": "401-453-7658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISHWORTH",
        "first_name": "CHRISTIE",
        "middle_name": "A.W.",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP37287",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN01087",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "CAPRN01087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004056",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APRN01087",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "NPP37287",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.