Individual provider Active NPI

Richard E Garstka, NP

  • Nurse Practitioner
  • Providence, RI
National Provider Identifier
1750356507
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPP37715 Issued in RI
Practice address
593 Eddy St
Main Building 6TH Floor
Providence, RI 02903-4923
Phone
(401) 444-8362
Fax
(401) 444-8366
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPP37715 RI Primary
Acute Care Nurse Practitioner 363LA2100X NPP37715 RI

Addresses

Primary practice location

593 Eddy St
Main Building 6TH Floor
Providence, RI 02903-4923

Mailing address

31 Daniels St
Main Building 6TH Floor
Franklin, MA 02038-1103
Phone (401) 444-8362

Other identifiers 1

IdentifierTypeStateIssuer
110087496AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000457 MA Practitioner - Nurse Practitioner 1052304037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital Nurse Practitioner CurrentSince May 1, 2012 Accepting new patients
Brigham and Women'S Faulkner Hospital, Inc Current Accepting new patients
Rhode Island Hospital CurrentSince May 1, 2012 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Mar 29, 2015 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Nov 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. Nurse Practitioner CurrentSince Mar 29, 2015 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

1153 Centre St
#L1
Jamaica Plain, MA 02130

1153 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-7000

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412

6 Blackstone Valley Pl
Lincoln, RI 02865
Phone (401) 333-3111

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

593 Eddy St
Bldg 6TH
Providence, RI 02903
Phone (401) 444-8362

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Providence, RI 02903

Interoperability endpoints

  • Direct secure messaging: garstka.richard.fh@direct.partners.masshiway.net

Organizations & group practices 7

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1750356507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 DANIELS ST",
            "address_2": "MAIN BUILDING 6TH FLOOR",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381103",
            "telephone_number": "401-444-8362",
            "fax_number": "401-444-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "MAIN BUILDING 6TH FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-8362",
            "fax_number": "401-444-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARSTKA",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP37715",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "RI",
            "license": "NPP37715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087496A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.