Active NPI
Erin Ivatts, MSN, AGNP-C
- Community Health Nurse Practitioner
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- RN251201
- 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
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 |
|---|---|---|---|---|
| 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, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN251201 | MA | MD | Community Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Associates, P.C. | Current | Accepting new patients | |
| Osh - Ri Physicians Group, PC | Current | Accepting new patients | |
| Hospice of the Good Shepherd, Inc. | Current | 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.
-
- Primary Care Clinic/Center
- Warwick, RI
- NPI 1063984813
-
- Family Medicine Physician
- Canton, MA
- NPI 1386866754
-
- Community Based Hospice Care Agency
- Newton, MA
- NPI 1053311514
-
- Home Health Agency
- Walpole, MA
- NPI 1205820933
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.