Active NPI
Barbara Duffy Evans, GNP
- Gerontology Nurse Practitioner
- Providence, RI
National Provider Identifier
1720165582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- NPP36692
- Practice address
- 1085 N Main St
Providence, RI 02904-5719 - Phone
- (401) 415-4212
- Fax
- (401) 415-4348
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NPP36692 | RI | Primary |
Addresses
Primary practice location
1085 N Main St
Providence, RI 02904-5719
Mailing address
1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7008294 | Medicaid | RI |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPP36692 | RI | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopehealth Hospice & Palliative Care | Past | Accepting new patients | |
| Lifespan Corp Lfspn Dsi Dba Hospice of Ri | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Pawtucket, RI
- NPI 1083799530
-
- General Practice Physician
- Brockton, MA
- NPI 1720405988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1720165582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 N MAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045719",
"telephone_number": "401-415-4212",
"fax_number": "401-415-4348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 N MAIN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029045719",
"telephone_number": "401-415-4212",
"fax_number": "401-415-4348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "BARBARA",
"middle_name": "DUFFY",
"name_prefix": "Ms.",
"credential": "GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "RI",
"license": "NPP36692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7008294",
"state": "RI"
}
],
"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 Mar 28, 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.