Individual provider Active NPI

Taramarie Lillian Piecyk, RN, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cranston, RI
National Provider Identifier
1548550171
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN45989 Issued in RI
Practice address
1150 Reservoir Ave
Cranston, RI 02920-6068
Phone
(401) 259-0340
Fax
(401) 213-8538
NPI assigned
Apr 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN279166 MA
Family Nurse Practitioner 363LF0000X RN279166 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN45989 RI Primary
Registered Nurse 163W00000X RN45989 RI
Family Nurse Practitioner 363LF0000X NPP37588 RI

Addresses

Primary practice location

1150 Reservoir Ave
Cranston, RI 02920-6068

Mailing address

1150 Reservoir Ave
Ste 203
Cranston, RI 02920-6043
Phone (401) 259-0340

Other identifiers 1

IdentifierTypeStateIssuer
TP91019MedicaidRI

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
I20121119000465 RI Practitioner - Nurse Practitioner 0941487185 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN45989RIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Counseling Associates LLC Psychiatric/Mental Health CurrentSince Mar 1, 2021 Accepting new patients

Locations

1150 Reservoir Ave
Ste 203
Cranston, RI 02920
Phone (401) 259-0340

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.

NPI Registry JSON

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1548550171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "address_2": "STE 203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206043",
            "telephone_number": "401-259-0340",
            "fax_number": "401-213-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206068",
            "telephone_number": "401-259-0340",
            "fax_number": "401-213-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECYK",
        "first_name": "TARAMARIE",
        "middle_name": "LILLIAN",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-16",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN279166",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN279166",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN45989",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN45989",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TP91019",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.