Camille M Moonsammy, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN01546 Issued in RI

Practice address

2071 Ministerial Rd
South Kingstown, RI 02879-1328

Phone

(917) 439-1043

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mdri LLC

  dba Blackstone Valley Medicine

  • Primary Care Clinic/Center
  • East Greenwich, RI
  • NPI 1922887157
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1639540826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 MINISTERIAL RD",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028791328",
            "telephone_number": "917-439-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 MINISTERIAL RD",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028791328",
            "telephone_number": "917-439-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONSAMMY",
        "first_name": "CAMILLE",
        "middle_name": "M",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN01546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Massey, LMHC
• Melissa McHugh, MD
• Allen McLeod, LMHC
• Metanoia Therapy and Wellness, LLC
• Rachel F Mikutel, PMHNP-BC
• Mary Elizabeth Glasheen Murray, MD
• Joey Napolitano
• Narragansett Pulmonary Medicine LLC
• New England Sound LLC (Miracle Ear)
• Duyanh Nguyen, PT

• Adult Health Nurse Practitioner in South Kingstown, RI
• Providers in South Kingstown, RI by specialty
• Adult Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.