Organization Active NPI

Afya Services LLC

  • Adult Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1689290751
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
AFYA SERVICES LLC
Practice address
61 Leah St
Providence, RI 02908-5130
Phone
(401) 601-3464
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Phina Mayu, NP
Title
Owner
Phone
(401) 601-3464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

61 Leah St
Providence, RI 02908-5130

Mailing address

61 Leah St
Providence, RI 02908-5130
Phone (401) 601-3464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1689290751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LEAH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085130",
            "telephone_number": "401-601-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LEAH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085130",
            "telephone_number": "401-601-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFYA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "MAYU",
        "authorized_official_first_name": "PHINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-601-3464",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "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 Jun 24, 2020; 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.