Individual provider Active NPI

Erin Ivatts, MSN, AGNP-C

  • Community Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1730639253
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
RN251201 Issued in MA
Practice address
712 Broad St
Providence, RI 02907-1465
Phone
(401) 233-5060
NPI assigned
Oct 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X RN251201 MA Primary

Addresses

Primary practice location

712 Broad St
Providence, RI 02907-1465

Mailing address

PO Box 746088
Atlanta, GA 30374-6088
Phone (773) 352-1515

Other practice location 1

55 West St
Walpole, MA 02081-1837
Phone (508) 668-1066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170302002259 MA Practitioner - Nurse Practitioner 0042594442 Reassigns benefits to 2 organizations
I20240819001432 RI Practitioner - Nurse Practitioner 0042594442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - Ri Physicians Group PCGroup PAC ID 5193051936, 32 clinicians

Practice addresses (Care Compare)

712 Broad St
Providence, RI 02907-1465
Phone (401) 536-9138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN251201MAMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Associates, P.C. CurrentSince Feb 26, 2017 Accepting new patients
Osh - Ri Physicians Group, PC CurrentSince Aug 5, 2024 Accepting new patients
Hospice of the Good Shepherd, Inc. CurrentSince Apr 11, 2022 Accepting new patients
Walpole Area Visiting Nurse Association, Inc. Past Accepting new patients

Locations

709 Washington St
Canton, MA 02021
Phone (781) 762-1531

160 Wells Ave
Newton Center, MA 02459
Phone (617) 969-6130

712 Broad St
Providence, RI 02907
Phone (401) 233-5060

300 Quaker Ln
Warwick, RI 02886
Phone (401) 233-5051

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1730639253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746088",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746088",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071465",
            "telephone_number": "401-233-5060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 West St",
            "address_purpose": "LOCATION",
            "city": "Walpole",
            "state": "MA",
            "postal_code": "020811837",
            "country_code": "US",
            "telephone_number": "508-668-1066",
            "fax_number": "508-668-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVATTS",
        "first_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "MSN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MA",
            "license": "RN251201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.