Fairlawn Primary Care, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPP37132 Issued in RI

Legal business name

FAIRLAWN PRIMARY CARE, INC

Practice address

886 Mineral Spring Ave
Pawtucket, RI 02860-3322

Phone

(401) 475-3063

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Holly FernandesNPI 1649272162

Title

President

Phone

(401) 475-3063

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: drm@fpc.hin2.us

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constance Marie Ducharme, NP

  • Primary Care Nurse Practitioner
  • North Providence, RI
  • NPI 1114558244
  Medicare reassignment Care Compare group NPD
• Fadi Mansourati, MD

  • Internal Medicine Physician
  • Pawtucket, RI
  • NPI 1548245962
  Medicare reassignment Care Compare group NPD
• Holly Fernandes, RNP

  • Family Nurse Practitioner
  • Pawtucket, RI
  • NPI 1649272162
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508898909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 MINERAL SPRING AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 MINERAL SPRING AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028603322",
            "telephone_number": "401-475-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRLAWN PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FERNANDES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-475-3063",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "09843",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003461",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006714",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romel Exama
• Maria Valeria Fabre, MD
• Brian Anthony Faella, D.P.T.
• Elaine Fain, MD
• Fairlawn Pharmacy Inc
• Jenna Fallago, MSW
• Jaleh Fallah, MD
• Irene Fallon
• Marieliz Falu Iglesias
• Family Medicine Specialists Inc

• Family Nurse Practitioner in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.