Active NPI
Kerri Callahan, RN
- Registered Nurse
- Providence, RI
National Provider Identifier
1659235554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN74093
- Practice address
- 528 N Main St Unit 4
Providence, RI 02904-5770 - Phone
- (401) 276-4020
- NPI assigned
- Dec 15, 2025
- Last updated
- Dec 17, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN74093 | RI | Primary |
Addresses
Primary practice location
528 N Main St Unit 4
Providence, RI 02904-5770
Mailing address
6 Laurel LN
West Warwick, RI 02893-2329
Other practice location 1
345 Blackstone Blvd Ste 2
Providence, RI 02906-4829
Phone (401) 455-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN74093 | RI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1659235554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LAUREL LN",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 N MAIN ST UNIT 4",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045770",
"telephone_number": "401-276-4020"
}
],
"practiceLocations": [
{
"address_1": "345 Blackstone Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029064829",
"country_code": "US",
"telephone_number": "401-455-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAHAN",
"first_name": "KERRI",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-12-15",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN74093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.