Individual provider Active NPI

Ellen Frances Brady, NP

  • Family Nurse Practitioner
  • Smithfield, RI
National Provider Identifier
1578080909
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN01670 Issued in RI
Practice address
400 Putnam Pike
Smithfield, RI 02917
Phone
(401) 757-6160
Fax
(401) 349-0840
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atmed Treatment Center, Inc. 11 clinicians

Practice addresses (Care Compare)

5750 Post Rd
East Greenwich, RI 02818-2139
Phone (401) 398-8760

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
I20171020002619 RI Practitioner - Nurse Practitioner 6608142542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN01670RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atmed Treatment Center, Inc. CurrentSince Sep 3, 2017 Accepting new patients
Atwood Medical Associates LTD Past Accepting new patients

Locations

5750 Post Rd
East Greenwich, RI 02818
Phone (401) 398-8760

1524 Atwood Ave
Ste 122
Johnston, RI 02919
Phone (401) 273-9400

Interoperability endpoints

  • Direct secure messaging: ellen.brady.1@15578.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN01670 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

400 Putnam Pike
Smithfield, RI 02917

Mailing address

159 Westcott Rd
North Scituate, RI 02857-1751
Phone (401) 241-5578

Other practice location 1

25 John A Cummings Way
Woonsocket, RI 02895-3244
Phone (401) 235-7310

Other practice location 2

982 Tiogue Ave
Coventry, RI 02816-6116
Phone (401) 821-6800

Other practice location 3

310 Maple Ave
Barrington, RI 02806-3430
Phone (401) 903-0300

Other practice location 4

2140 Mendon Rd
Cumberland, RI 02864-3843
Phone (401) 642-2072

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2018.

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1578080909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 WESTCOTT RD",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571751",
            "telephone_number": "401-241-5578",
            "fax_number": "401-398-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PUTNAM PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "02917",
            "telephone_number": "401-757-6160",
            "fax_number": "401-349-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 John A Cummings Way",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028953244",
            "country_code": "US",
            "telephone_number": "401-235-7310",
            "fax_number": "401-235-7314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "982 Tiogue Ave",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028166116",
            "country_code": "US",
            "telephone_number": "401-821-6800",
            "fax_number": "401-821-8513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "RI",
            "postal_code": "028063430",
            "country_code": "US",
            "telephone_number": "401-903-0300",
            "fax_number": "401-337-5354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 Mendon Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643843",
            "country_code": "US",
            "telephone_number": "401-642-2072",
            "fax_number": "401-305-3958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ELLEN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

Sources for this page

Verify at the official NPI Registry.