Individual provider Active NPI

Irene Dematteo, APRN, PCNS, RN, BC

  • Clinical Nurse Specialist
  • Warwick, RI
National Provider Identifier
1497709497
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
APRN00188 Issued in RI
Practice address
300 Centerville Rd Suite 101 West
Warwick, RI 02886-0201
Phone
(401) 480-9820
Fax
(401) 842-0360
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PPNS00003 RI
Clinical Nurse Specialist 364S00000X APRN00188 RI Primary

Addresses

Primary practice location

300 Centerville Rd Suite 101 West
Warwick, RI 02886-0201

Mailing address

300 Centerville Rd Ste 101
Warwick, RI 02886-0200
Phone (401) 480-9820

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 15, 2024 through Feb 15, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PPNS00003RIMDProfessional Counselor
002405CTMDMarriage & Family Therapist
APRN00188RIMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
West Bay Psychiatric Associates PastSince Sep 21, 2025 Accepting new patients

Organizations & group practices 1

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1497709497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTERVILLE RD STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028860200",
            "telephone_number": "401-480-9820",
            "fax_number": "401-842-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTERVILLE RD SUITE 101 WEST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028860201",
            "telephone_number": "401-480-9820",
            "fax_number": "401-842-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTEO",
        "first_name": "IRENE",
        "credential": "APRN, PCNS, RN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "RI",
            "license": "PPNS00003",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "RI",
            "license": "APRN00188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.