Active NPI
Jason Lord
- Psychiatric/Mental Health Nurse Practitioner
- Cranston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN04537
- Practice address
- 1020 Park Ave
Cranston, RI 02910-3227 - Phone
- (401) 396-7649
- NPI assigned
- Jul 31, 2023
- Last updated
- May 31, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | APRN03515 | RI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN04537 | RI | Primary |
Addresses
Primary practice location
1020 Park Ave
Cranston, RI 02910-3227
Mailing address
20335 Patriot Way
West Greenwich, RI 02817-6027
Other practice location 1
20335 Patriot Way
West Greenwich, RI 02817-6027
Phone (646) 270-3548
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1020 Park Ave
Cranston, RI 02910-3227
Phone (401) 396-7649
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN03515 | RI | MD | Family Nurse Practitioner |
| APRN04537 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversity Counseling LLC | Current | Accepting new patients | |
| Directions for Life Inc | Current | Accepting new patients | |
| Dr Joanne L Doucette Psychological Services Inc | Past | Accepting new patients |
Locations
1020 Park Ave
Providence, RI 02910
Phone (401) 396-7649
111 Wayland Ave
Providence, RI 02906
Phone (401) 396-7649
Organizations & group practices 3
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.
-
- Addiction (Substance Use Disorder) Counselor
- Cranston, RI
- NPI 1033868930
-
- Social Worker
- Cranston, RI
- NPI 1427432137
-
- Psychologist
- Providence, RI
- NPI 1104051176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780185600000",
"number": "1659052736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20335 PATRIOT WAY",
"city": "WEST GREENWICH",
"state": "RI",
"postal_code": "028176027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 PARK AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029103227",
"telephone_number": "401-396-7649"
}
],
"practiceLocations": [
{
"address_1": "20335 Patriot Way",
"address_purpose": "LOCATION",
"city": "West Greenwich",
"state": "RI",
"postal_code": "028176027",
"country_code": "US",
"telephone_number": "646-270-3548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LORD",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-31",
"last_updated": "2026-05-31",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN03515",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "RI",
"license": "APRN04537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.
- 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.