Individual provider Active NPI

Laurie Tina Anderson, CNP

  • Primary Care Nurse Practitioner
  • Smithfield, RI
National Provider Identifier
1497870612
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN000823 Issued in RI
Practice address
1150 Douglas Pike
Smithfield, RI 02917-1291
Phone
(401) 232-6220
NPI assigned
Mar 20, 2007
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN000823 RI Primary
School Nurse Practitioner 363LS0200X APRN00823 RI

Addresses

Primary practice location

1150 Douglas Pike
Smithfield, RI 02917-1291

Mailing address

17 Rogler Farm Rd
Smithfield, RI 02917-1219
Phone (401) 233-0316

Other practice location 1

Camp Wicosuta
21 Wicosuta Drive
Hebron, NH 03241
Phone (603) 744-3301

Other practice location 2

13 Brown St
Providence, RI 02912-0001
Phone (401) 863-9535

Other names 1

  • Ms. Laurie Tina Anderson-Plowman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN000823RIMDPrimary Care Nurse Practitioner
APRN00823RIMDSchool Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1497870612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ROGLER FARM RD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171219",
            "telephone_number": "401-233-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 DOUGLAS PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171291",
            "telephone_number": "401-232-6220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Camp Wicosuta",
            "address_2": "21 Wicosuta Drive",
            "address_purpose": "LOCATION",
            "city": "Hebron",
            "state": "NH",
            "postal_code": "03241",
            "country_code": "US",
            "telephone_number": "603-744-3301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13 Brown St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029120001",
            "country_code": "US",
            "telephone_number": "401-863-9535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LAURIE",
        "middle_name": "TINA",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "RI",
            "license": "APRN000823",
            "primary": true
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "RI",
            "license": "APRN00823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "ANDERSON-PLOWMAN",
            "middle_name": "TINA",
            "prefix": "MS.",
            "credential": "CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.