Individual provider Active NPI

Lisa Marie Frappier, DO

  • Psychiatry Physician
  • Riverside, RI
National Provider Identifier
1619975802
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO 0429 Issued in RI
Practice address
250 Wampanoag TRL
Suite 202
Riverside, RI 02915
Phone
(401) 435-0044
Fax
(844) 278-9690
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO 0429 RI Primary

Addresses

Primary practice location

250 Wampanoag TRL
Suite 202
Riverside, RI 02915

Mailing address

250 Wampanoag TRL
Suite 202
Riverside, RI 02915-2218
Phone (401) 435-0044

Other identifiers 8

IdentifierTypeStateIssuer
1093831646OtherBUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
IP005419OtherRIMAGELLAN
23931-4OtherRIBLUE CROSS
1104801349OtherRIBUTLER HOSPITAL NPI
7003386MedicaidRI
007059467OtherRIMEDICARE ID-TYPE UNSPECIFIED
220877OtherRIPILGRAM
402027OtherRIBLUECHIP

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000799 RI Practitioner - Psychiatry 1052403326 Reassigns benefits to 1 organization
Practice locations: Riverside, RI

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of New England, College of Osteo Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Services Landmark LLC 48 clinicians

Practice addresses (Care Compare)

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO 0429RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC CurrentSince Apr 16, 2020 Accepting new patients
Prime Healthcare Services Landmark LLC Psychiatry CurrentSince Apr 16, 2020 Accepting new patients
Affinity Physicians LLC. Psychiatry Current Accepting new patients
St. Joseph Health Services of Rhode Island Psychiatry Past Accepting new patients
St. Joseph Health Services of Rhode Island Past Accepting new patients
The Providence Center Psychiatry Past Accepting new patients

Locations

200 High Service Ave
#3
North Providence, RI 02904
Phone (401) 456-3649

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

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

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

Organizations & group practices 9

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1619975802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WAMPANOAG TRL",
            "address_2": "SUITE 202",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152218",
            "telephone_number": "401-435-0044",
            "fax_number": "401-276-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WAMPANOAG TRL",
            "address_2": "SUITE 202",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "02915",
            "telephone_number": "401-435-0044",
            "fax_number": "844-278-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAPPIER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "DO 0429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE",
            "identifier": "1093831646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "IP005419",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "23931-4",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUTLER HOSPITAL NPI",
            "identifier": "1104801349",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003386",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "007059467",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRAM",
            "identifier": "220877",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "402027",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.