Individual provider Active NPI

Micheline Lise Poirier-Woolf, NPP

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1710089883
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPP30927 Issued in RI
Practice address
400 Bald Hill Rd Ste 511
Warwick, RI 02886-6100
Phone
(401) 738-8100
Fax
(401) 732-2763
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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 NPP30927 RI Primary

Addresses

Primary practice location

400 Bald Hill Rd Ste 511
Warwick, RI 02886-6100

Mailing address

42 Macintosh LN
Saunderstown, RI 02874-1938
Phone (401) 294-7054

Other identifiers 3

IdentifierTypeStateIssuer
30599-2OtherRIBCBS
NPP30927OtherRINURSE PRACTITIONER LICENS
404468OtherRIBCHIP

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1710089883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MACINTOSH LN",
            "city": "SAUNDERSTOWN",
            "state": "RI",
            "postal_code": "028741938",
            "telephone_number": "401-294-7054",
            "fax_number": "401-732-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD STE 511",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028866100",
            "telephone_number": "401-738-8100",
            "fax_number": "401-732-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER-WOOLF",
        "first_name": "MICHELINE",
        "middle_name": "LISE",
        "name_prefix": "Ms.",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP30927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30599-2",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "NPP30927",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHIP",
            "identifier": "404468",
            "state": "RI"
        }
    ],
    "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 Jan 23, 2012; 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.