Individual provider Active NPI

Chellee Debor Furbert, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • North Smithfield, RI
National Provider Identifier
1609358753
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN76382 Issued in RI
Practice address
63 Eddie Dowling Hwy Ste 8
North Smithfield, RI 02896-7322
Phone
(781) 666-2711
Fax
(781) 666-2712
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71008382A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN76382 RI Primary

Addresses

Primary practice location

63 Eddie Dowling Hwy Ste 8
North Smithfield, RI 02896-7322

Mailing address

63 Eddie Dowling Hwy Ste 8
North Smithfield, RI 02896-7322
Phone (781) 666-2711

Other practice location 1

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-0000

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
I20230705002895 RI Practitioner - Nurse Practitioner 7214289479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Neuro Behavioral Care LLC 57 clinicians

Practice addresses (Care Compare)

63 Eddie Dowling Hwy
North Smithfield, RI 02896-7322
Phone (781) 666-2711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008382AINMDFamily Nurse Practitioner
RN76382RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Neuro Behavioral Care LLC CurrentSince May 21, 2023 Accepting new patients

Locations

63 Park Sq
Ste 8
North Smithfield, RI 02896
Phone (401) 414-3485

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1609358753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 EDDIE DOWLING HWY STE 8",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967322",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 EDDIE DOWLING HWY STE 8",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028967322",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Eskenazi Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025187",
            "country_code": "US",
            "telephone_number": "317-880-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURBERT",
        "first_name": "CHELLEE",
        "middle_name": "DEBOR",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008382A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN76382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

Verify at the official NPI Registry.