Individual provider Active NPI

Megan T. Gaynor Charette, NP

  • Family Nurse Practitioner
  • Providence, RI
National Provider Identifier
1609992197
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPP37410 Issued in RI
Practice address
101 Dudley St
Providence, RI 02905-2401
Phone
(401) 453-7540
Fax
(401) 453-7785
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NPP37410 RI Primary

Addresses

Primary practice location

101 Dudley St
Providence, RI 02905-2401

Mailing address

83 Colonial Rd
Providence, RI 02906-2549
Phone (401) 714-0320

Other practice location 1

355 Prairie Ave
Providence, RI 02905-1928
Phone (401) 444-0570

Other practice location 2

1 Blackstone Street
3rd Floor
Providence, RI 02903
Phone (401) 453-7520

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mgaynorcharette@wih.cernerdirect.carene.org Health Information Exchange (HIE)
Direct Messaging Address mgaynorcharette59695@HCNetwork.direct-ci.com

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
I20080603000262 RI Practitioner - Nurse Practitioner 2961572953 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. CurrentSince Jan 1, 2017 Accepting new patients
Affinity Physicians LLC CurrentSince Jan 1, 2017 Accepting new patients
Planned Parenthood of Southern New England, Inc. CurrentSince Oct 1, 2009 Accepting new patients
Affinity Physicians LLC. Past Accepting new patients
Women & Infants Hospital of Rhode Island Past Accepting new patients
Planned Parenthood of Southern New England Past Accepting new patients

Locations

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

175 Broad St
Providence, RI 02903
Phone (401) 421-9620

111 Point St
Providence, RI 02903
Phone (203) 752-2856

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: mgaynorcharette59695@hcnetwork.direct-ci.com
  • Direct secure messaging: mgaynorcharette@wih.cernerdirect.carene.org
  • FHIR API: https://api.platform.athenahealth.com/11510/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1609992197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 COLONIAL RD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062549",
            "telephone_number": "401-714-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DUDLEY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052401",
            "telephone_number": "401-453-7540",
            "fax_number": "401-453-7785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029051928",
            "country_code": "US",
            "telephone_number": "401-444-0570",
            "fax_number": "401-444-0427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Blackstone Street",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02903",
            "country_code": "US",
            "telephone_number": "401-453-7520",
            "fax_number": "401-453-7529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYNOR CHARETTE",
        "first_name": "MEGAN",
        "middle_name": "T.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgaynorcharette@wih.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Dudley St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029052401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgaynorcharette59695@HCNetwork.direct-ci.com",
            "affiliation": "N",
            "address_1": "355 Prairie Ave",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029051928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.