Organization Active NPI

Careatc

  • Family Medicine Physician
  • Providence, RI
National Provider Identifier
1740014877
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAREATC
Practice address
280 Melrose St
Providence, RI 02907-2152
Phone
(401) 633-6336
NPI assigned
Aug 30, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CAREATCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Kelly Bender
Title
Director, Product and Data Manageme
Phone
(918) 779-7475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

280 Melrose St
Providence, RI 02907-2152

Mailing address

280 Melrose St
Providence, RI 02907-2152

Other names 1

  • CareATC - Melrose Other name

National Provider Directory

National Provider Directory
Tax ID family
Careatc - Caledonia118 organizations share this tax ID, including this one
Part of
Careatc - Caledonia

Locations

280 Melrose St
Providence, RI 02907
Phone (401) 633-6336

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1740014877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MELROSE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MELROSE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029072152",
            "telephone_number": "401-633-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREATC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREATC",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR, PRODUCT AND DATA MANAGEME",
        "authorized_official_telephone_number": "918-779-7475"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareATC - Melrose",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 30, 2024; 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.