Individual provider Active NPI

Patricia L Giarrusso, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Johnston, RI
National Provider Identifier
1538492525
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN01699 Issued in RI
Practice address
1126 Hartford Ave
Johnston, RI 02919-7109
Phone
(401) 351-2750
Fax
(013) 516-6134
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN01699 RI Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 768894 TX

Addresses

Primary practice location

1126 Hartford Ave
Johnston, RI 02919-7109

Mailing address

7777 Forest LN
C 833
Dallas, TX 75230-2505
Phone (972) 566-4591

Other practice location 1

33 Maple St
North Providence, RI 02911-2415
Phone (401) 351-2750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address 0215.0004@direct.bvchc.nextgenshare.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228000602 RI Practitioner - Nurse Practitioner 1759427131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1126 Hartford Ave
Johnston, RI 02919-7109
Phone (401) 351-2750

1126 Hartford Ave
Johnston, RI 02919-7130

33 Maple St
North Providence, RI 02911-2415
Phone (401) 351-2750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Community Action Agency CurrentSince Oct 2, 2017 Accepting new patients
Tri-County Community Action Agency CurrentSince Oct 2, 2017 Accepting new patients
Joel a. Holiner, MD PA Psychiatric/Mental Health PastSince Jul 1, 1998 Accepting new patients

Locations

1126 Hartford Ave
Johnston, RI 02919
Phone (401) 351-2750

33 Maple St
North Providence, RI 02911
Phone (401) 351-2750

Interoperability endpoints

  • Direct secure messaging: patricia.giarrusso.p4@direct.bvchc.nextgenshare.com

Organizations & group practices 3

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1538492525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "C 833",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302505",
            "telephone_number": "972-566-4591",
            "fax_number": "972-566-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197109",
            "telephone_number": "401-351-2750",
            "fax_number": "013-516-6134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Maple St",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029112415",
            "country_code": "US",
            "telephone_number": "401-351-2750",
            "fax_number": "401-351-6613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIARRUSSO",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN01699",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "768894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "0215.0004@direct.bvchc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1126 Hartford Ave",
            "city": "Johnston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029197109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.