Pawtucket Primary Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PAWTUCKET PRIMARY CARE LLC

Practice address

126 Prospect Street
Pawtucket, RI 02860

Phone

(401) 244-5900

Fax

(401) 262-5501

NPI assigned

Jun 26, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Anne Therese Valez, FNP-BCNPI 1982062246

Title

FNP-BC

Phone

(401) 349-9619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

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

• Anne Therese Valez, FNP-BC

  • Family Nurse Practitioner
  • Pawtucket, RI
  • NPI 1982062246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1538845441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HANAFORD DRIVE",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "02818",
            "telephone_number": "401-349-9619",
            "fax_number": "401-262-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-244-5900",
            "fax_number": "401-262-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWTUCKET PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "VALEZ",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "FNP-BC",
        "authorized_official_telephone_number": "401-349-9619",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Pavao, DPT
• Buck Pavoni, MASTERS
• Pawtucket Day Child Development Center
• Pawtucket Orthodontics LLC
• Pawtucket Primary Care Inc.
• Pawtucket School Department
• Pawtucket School Department
• Pawtucket SNF Operator LLC
• Carolyn Pearce, MD
• Joann Peareara-Eaves, CNM

• 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 Jun 12, 2024; 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.