Individual provider Active NPI

Salma Antony

  • Family Nurse Practitioner
  • Cumberland, RI
National Provider Identifier
1497369060
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02450 Issued in RI
Practice address
3353 Mendon Rd
Cumberland, RI 02864-2158
Phone
(401) 481-7679
NPI assigned
Sep 1, 2020
Last updated
Apr 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN02450 RI Primary
Emergency Registered Nurse 163WE0003X RN43495 RI

Addresses

Primary practice location

3353 Mendon Rd
Cumberland, RI 02864-2158

Mailing address

3353 Mendon Rd
Cumberland, RI 02864-2158
Phone (401) 481-7679

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
I20210506002287 RI Practitioner - Nurse Practitioner 9436568201 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN43495RIMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Garden City Treatment Center, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Pulmonary and Sleep Office of New England PC PastSince Apr 5, 2021 Accepting new patients

Locations

1150 Reservoir Ave
Ste 100
Cranston, RI 02920
Phone (401) 946-2400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1497369060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028642158",
            "telephone_number": "401-481-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028642158",
            "telephone_number": "401-481-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "SALMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02450",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "RI",
            "license": "RN43495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

Verify at the official NPI Registry.