Individual provider Active NPI

Stephanie Church, RN

  • Registered Nurse
  • Cranston, RI
National Provider Identifier
1699382861
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60788 Issued in RI
Practice address
12 Halligan Rd
Cranston, RI 02920-3050
Phone
(401) 462-2592
NPI assigned
Sep 30, 2020
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60788 RI Primary

Addresses

Primary practice location

12 Halligan Rd
Cranston, RI 02920-3050

Mailing address

37 Scenic Dr
North Kingstown, RI 02852-1941
Phone (401) 633-5184

Other practice location 1

530 N Main St
Providence, RI 02904-5762
Phone (401) 274-2500

Other practice location 2

111 Howard Ave Bldg 56
Cranston, RI 02920-3001
Phone (401) 462-1020

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

LicenseStateTypeSpecialty
RN60788RIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1699382861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SCENIC DR",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028521941",
            "telephone_number": "401-633-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HALLIGAN RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203050",
            "telephone_number": "401-462-2592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 N Main St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045762",
            "country_code": "US",
            "telephone_number": "401-274-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Howard Ave Bldg 56",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029203001",
            "country_code": "US",
            "telephone_number": "401-462-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "STEPHANIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN60788",
            "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 5, 2026; 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.