Individual provider Active NPI

Justine Faye Iadeluca, APRN, FNP-C

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1659848745
Registry record updated Oct 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN01792 Issued in RI
Practice address
80 Lambert Lind Hwy
Warwick, RI 02886-1071
Phone
(401) 739-7900
NPI assigned
Oct 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN01792 RI Primary

Addresses

Primary practice location

80 Lambert Lind Hwy
Warwick, RI 02886-1071

Mailing address

133 Cassandra LN
North Kingstown, RI 02852-3411
Phone (401) 529-2046

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

State licenses

LicenseStateTypeSpecialty
APRN01792RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Health and Wellness, LLC Past Accepting new patients
MW Wellness Ventures II, LLC Past Accepting new patients

Organizations & group practices 2

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": "1540598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540598400000",
    "number": "1659848745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 CASSANDRA LN",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523411",
            "telephone_number": "401-529-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LAMBERT LIND HWY",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861071",
            "telephone_number": "401-739-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IADELUCA",
        "first_name": "JUSTINE",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-27",
        "last_updated": "2018-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.