Individual provider Active NPI

Britta Renzulli, PA-C

  • Physician Assistant
  • Warwick, RI
National Provider Identifier
1588911457
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00647 Issued in RI
Practice address
300 Centerville Rd Ste 110
Warwick, RI 02886-0200
Phone
(401) 615-2299
Fax
(401) 615-7529
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00647 RI Primary
Surgical Physician Assistant 363AS0400X PA00647 RI

Addresses

Primary practice location

300 Centerville Rd Ste 110
Warwick, RI 02886-0200

Mailing address

10 Davol SQ Ste 400
Providence, RI 02903-4752
Phone (401) 421-4000

Other names 1

  • Britta Andreozzi Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Britta.Renzulli.usasurg@direct-address.net Direct

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
I20121024000026 RI Practitioner - Physician Assistant 6002066248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Coastal Medical, Inc. PastSince Sep 8, 2024 Accepting new patients

Locations

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

300 Centerville Rd
Ste 110
Warwick, RI 02886
Phone (401) 615-2299

Interoperability endpoints

  • Direct secure messaging: brenzulli28700@brownhealth.medalliesdirect.net
  • Direct secure messaging: britta.renzulli.usasurg@direct-address.net

Organizations & group practices 4

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": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1588911457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ STE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034752",
            "telephone_number": "401-421-4000",
            "fax_number": "401-272-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTERVILLE RD STE 110",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028860200",
            "telephone_number": "401-615-2299",
            "fax_number": "401-615-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZULLI",
        "first_name": "BRITTA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00647",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "RI",
            "license": "PA00647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Britta.Renzulli.usasurg@direct-address.net",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Dudley St",
            "address_2": "Suite 190",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029053236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRITTA",
            "last_name": "ANDREOZZI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.