Active NPI
Claudia Janet Cartagena, PA-C
- Medical Physician Assistant
- Pawtucket, RI
National Provider Identifier
1508089871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA00400
- Practice address
- 588 Pawtucket Ave
Pawtucket, RI 02860-6057 - Phone
- (401) 722-2400
- Fax
- (401) 728-3920
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00400 | RI | |
| Medical Physician Assistant | 363AM0700X | PA00400 | RI | Primary |
Addresses
Primary practice location
588 Pawtucket Ave
Pawtucket, RI 02860-6057
Mailing address
588 Pawtucket Ave
Pawtucket, RI 02860-6057
Phone (401) 722-2400
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 519-1604
Other practice location 2
593 Eddy St
Providence, RI 02903-4923
Phone (401) 519-1604
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508089 | Medicaid | RI | |
| 32716-3 | Other | RI | BLUECHIP |
| 979005394 | Other | RI | RI MEDICARE |
| 939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
| 01/15/2008 | Other | RI | NHPRI |
| 1508089871 | Other | RI | NPI |
| 414115 | Other | RI | BCBSRI |
| 04-15-2009 | Other | RI | UNITED HEALTH CARE |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00400 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Corporation | Current | Accepting new patients |
Interoperability endpoints
- ccartagena8555@brownhealth.medalliesdirect.net
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.
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508089871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 PAWTUCKET AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606057",
"telephone_number": "401-722-2400",
"fax_number": "401-728-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 PAWTUCKET AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606057",
"telephone_number": "401-722-2400",
"fax_number": "401-728-3920"
}
],
"practiceLocations": [
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-519-1604",
"fax_number": "401-272-0538",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-519-1604",
"fax_number": "401-272-0538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTAGENA",
"first_name": "CLAUDIA",
"middle_name": "JANET",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00400",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "RI",
"license": "PA00400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508089",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "32716-3",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI MEDICARE",
"identifier": "979005394",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI MEDICARE GROUP NUMBER",
"identifier": "939025129",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHPRI",
"identifier": "01/15/2008",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1508089871",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSRI",
"identifier": "414115",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "04-15-2009",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.