John R. Dufresne, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPP37176 Issued in RI

Practice address

1150 Reservoir Ave
Suite 100
Cranston, RI 02920-6068

Phone

(401) 946-2400

Fax

(401) 946-0107

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Emergency Physician Associates of New England PC

  • Emergency Medicine Physician
  • Wakefield, RI
  • NPI 1427381052

  Nurse Practitioner, RI

  Medicare reassignment NPD
• Neurosurgical Care, LLC

  • Neurological Surgery Physician
  • Providence, RI
  • NPI 1134106719
  NPD (past)
• Rhode Island Emergency Physicians

  • Emergency Medicine Physician
  • Wakefield, RI
  • NPI 1528009313
  NPD (past)
• South County Family Medicine Inc.

  • Family Medicine Physician
  • Hope Valley, RI
  • NPI 1225041064
  NPD (past)
• South County Primary Care, Inc.

  • Family Medicine Physician
  • Narragansett, RI
  • NPI 1306816251
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1699740720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "address_2": "SUITE 100",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206068",
            "telephone_number": "401-946-2400",
            "fax_number": "401-946-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "address_2": "SUITE 100",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206068",
            "telephone_number": "401-946-2400",
            "fax_number": "401-946-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFRESNE",
        "first_name": "JOHN",
        "middle_name": "R.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37176",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP37176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "24007-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "409038",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7057318",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00217750",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRS Napolitano and Conforti LLC
• DRS. Concannon and Vitale, LLC
• Joao Carlos Taveira Duarte, DC
• Marc Dubois
• Beth Dufour, APRN-BC
• Ann L Duggan, CRNA
• Grace Dulude, LMHC
• Taylor Laurel Dupere, CCC-SLP
• Dalyner Duran
• Brittany Durgin, RPH

• All providers in Cranston, RI
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.