Individual provider Active NPI

Kelly Santos, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tiverton, RI
National Provider Identifier
1558044164
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2325826 Issued in MA
Practice address
301 State Ave
Tiverton, RI 02878-1062
Phone
(774) 300-3444
Fax
(774) 307-9039
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2325826 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN05129 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2325826 MA Primary
Family Nurse Practitioner 363LF0000X APRN03727 RI

Addresses

Primary practice location

301 State Ave
Tiverton, RI 02878-1062

Mailing address

308 Eastview Ave
Somerset, MA 02726-4800
Phone (508) 244-9731

Other practice location 1

308 Eastview Ave
Somerset, MA 02726-4800
Phone (508) 244-9731

Other practice location 2

652 George Washington Hwy
Lincoln, RI 02865-4330
Phone (401) 334-1830

Other practice location 3

475 Kilvert St
Warwick, RI 02886-1379
Phone (401) 737-6900

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
I20260506001577 RI Practitioner - Nurse Practitioner 2769823491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Minds Psychiatry LLCGroup PAC ID 7911385182, 4 clinicians
Lincoln Psychiatric Services, Inc.Group PAC ID 8224068994, 5 clinicians

Practice addresses (Care Compare)

301 State Ave
Tiverton, RI 02878-1062
Phone (774) 300-3444

652 George Washington Hwy
Unit 400
Lincoln, RI 02865-4267
Phone (401) 334-1830

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2325826MAMDFamily Nurse Practitioner
APRN05129MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fall River Psychiatry Psychiatric/Mental Health Current Accepting new patients
Lincoln Psychiatric Services, Inc. Current Accepting new patients
Healing Minds Psychiatry, LLC Psychiatric/Mental Health CurrentSince Nov 9, 2025 Accepting new patients

Locations

652 George Washington Hwy
Lincoln, RI 02865
Phone (401) 333-3211

652 George Washington Hwy
Unit 400
Lincoln, RI 02865
Phone (401) 334-1830

301 State Ave
Tiverton, RI 02878
Phone (774) 300-3444

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1558044164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 EASTVIEW AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027264800",
            "telephone_number": "508-244-9731",
            "fax_number": "774-307-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 STATE AVE",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781062",
            "telephone_number": "774-300-3444",
            "fax_number": "774-307-9039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Eastview Ave",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "MA",
            "postal_code": "027264800",
            "country_code": "US",
            "telephone_number": "508-244-9731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "652 George Washington Hwy",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028654330",
            "country_code": "US",
            "telephone_number": "401-334-1830",
            "fax_number": "401-334-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Kilvert St",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861379",
            "country_code": "US",
            "telephone_number": "401-737-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "KELLY",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2325826",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "APRN05129",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2325826",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

Verify at the official NPI Registry.