Active NPI
Chellee Debor Furbert, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- North Smithfield, RI
National Provider Identifier
1609358753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN76382
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71008382A | IN | MD | Family Nurse Practitioner |
| RN76382 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Neuro Behavioral Care LLC | Current | 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.
-
- Community/Behavioral Health Agency
- North Smithfield, RI
- NPI 1356906572
RI
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.