Individual provider Active NPI

Jennifer K Trayner, MD

  • Psychiatry Physician
  • Providence, RI
National Provider Identifier
1508029455
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD13749 Issued in RI
Practice address
593 Eddy Street
Apc Main
Providence, RI 02903
Phone
(401) 444-5435
Fax
(401) 444-8301
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD13749 RI Primary

Addresses

Primary practice location

593 Eddy Street
Apc Main
Providence, RI 02903

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779

Other practice location 1

1170 Pontiac Ave
Cranston, RI 02920-7944
Phone (401) 343-4343

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130123000394 RI Practitioner - Psychiatry 8628221769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oregon Health Sciences University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

146 W River St
Suite 11B
Providence, RI 02904-2609
Phone (401) 444-7442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital CurrentSince Jun 23, 2017 Accepting new patients
Rhode Island Hospital Psychiatry CurrentSince Sep 1, 2019 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince May 1, 2017 Accepting new patients
Rhode Island Hospital CurrentSince Jun 23, 2017 Accepting new patients
Lifespan Physician Group, Inc. Psychiatry CurrentSince May 1, 2017 Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

593 Eddy St
#138
Providence, RI 02903
Phone (401) 444-5291

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

146 W River St
Ste 11B
Providence, RI 02904
Phone (401) 444-7442

593 Eddy St
Providence, RI 02903

245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741

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

Organizations & group practices 5

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1508029455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY STREET",
            "address_2": "APC MAIN",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-444-5435",
            "fax_number": "401-444-8301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 Pontiac Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029207944",
            "country_code": "US",
            "telephone_number": "401-343-4343",
            "fax_number": "401-296-3998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAYNER",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD13749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.