Active NPI
Ingrid Krista Mahoney, FNP-C
- Family Nurse Practitioner
- East Greenwich, RI
National Provider Identifier
1578084273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN01842
- Practice address
- 1285 S County TRL
East Greenwich, RI 02818 - Phone
- (401) 886-0902
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5009639 | NC | |
| Family Nurse Practitioner | 363LF0000X | APRN01842 | RI | Primary |
Addresses
Primary practice location
1285 S County TRL
East Greenwich, RI 02818
Mailing address
1285 S County TRL
East Greenwich, RI 02818-1620
Phone (090) 240-1886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN01842 | RI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1578084273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 S COUNTY TRL",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181620",
"telephone_number": "090-240-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 S COUNTY TRL",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "02818",
"telephone_number": "401-886-0902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "INGRID",
"middle_name": "KRISTA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5009639",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN01842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.