Ri Wellness Medical Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RI WELLNESS MEDICAL CENTER LLC

Practice address

1635 Mineral Spring Ave Ste 203
North Providence, RI 02904-4025

Phone

(401) 525-8202

Fax

(308) 888-6638

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Eucharia U Ibeh, NPNPI 1194326991

Title

Family Nurse Practitioner

Phone

(401) 525-8202

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eucharia U Ibeh

  • Family Nurse Practitioner
  • North Providence, RI
  • NPI 1194326991
  Medicare reassignment NPD Authorized official
• Souad Cheteyan, APRN, BSN, M.ED, MSN

  • Family Nurse Practitioner
  • North Providence, RI
  • NPI 1558755082
  NPD

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1659025831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 MINERAL SPRING AVE STE 203",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044025",
            "telephone_number": "401-525-8202",
            "fax_number": "308-888-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 MINERAL SPRING AVE STE 203",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044025",
            "telephone_number": "401-525-8202",
            "fax_number": "308-888-6638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "468 Smithfield Rd",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029044266",
            "country_code": "US",
            "telephone_number": "401-525-8202",
            "fax_number": "308-888-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RI WELLNESS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "IBEH",
        "authorized_official_first_name": "EUCHARIA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "401-525-8202",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194326991",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659025831",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ajharmacy01@gmail.com",
            "affiliation": "N",
            "address_1": "1017 Smith St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029082747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ajharmacy01@gmail.com",
            "affiliation": "N",
            "address_1": "1017 Smith St",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029082747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 00351)
• Rhode Island Internal Medicine Associates LLC
• Rhode Island Optometrics, LLC
• Ri Dental Care Inc.
• Ri Dental Surgery & Implants, LTD.
• Haley Kathryn Ribb, LCSW
• Melissa Ricciotti, PT
• John Riccitelli, MSW, LICSW
• Richard P. Iacobucci MD, Inc.
• Jacqueline Richards

• Family Nurse Practitioner in North Providence, RI
• Providers in North Providence, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.