Jacquelyn M Arieta, FNP
Individual provider Active NPI Family Nurse Practitioner · Lincoln, RI
NPI 1679560718 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1679560718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN00817 (RI)
- Practice address
- 1 Commerce St
Anchor Medical Associates Pediatric Department
Lincoln, RI 02865-1168 - Phone
- (401) 793-8484
- Fax
- (401) 793-8481
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090424000145 | RI | Practitioner - Nurse Practitioner | 5092718270 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152166 | MA | MD | Nurse Practitioner |
| CAPRN00817 | RI | MD | Family Nurse Practitioner |
| RN25654 | RI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 152166 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN25654 | RI | |
| Family Nurse Practitioner | 363LF0000X | CAPRN00817 | RI | |
| Family Nurse Practitioner | 363LF0000X | APRN00817 | RI | Yes |
Addresses
Primary practice location
1 Commerce St
Anchor Medical Associates Pediatric Department
Lincoln, RI 02865-1168
Mailing address
1 Commerce St
Anchor Medical Associates Pediatric Department
Lincoln, RI 02865-1168
Phone (401) 793-8484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0799785 | Medicaid | MA | |
| 31351-3 | Other | RI | BCBSRI |
| 78089 | Other | MA | CHILDRENS MEDICAL SECURIT |
| 0037810 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 413415 | Other | RI | BCBSRIBLUCHIP |
| NP2548 | Other | MA | BCBSMA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jacquelyn.arieta@10.direct.athenahealth.com |
Other providers in Lincoln, RI
- Angela L. Karavasilis, DO, Inc.
- Angelina Antonizio
- Rex W Appenfeller
- Aramark Health Services Inc
- Anabela Gouveia Araujo
- Mahogany Armstead
- Sara Arno
- Arthritis Center of Rhode Island, Inc.
- Daniel K Asiedu
- Gail E Audette
All providers in Lincoln, RI · Family Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.