Active NPI
Carlene J Page, APRN PCNS
- Psychiatric/Mental Health Clinical Nurse Specialist
- North Providence, RI
National Provider Identifier
1750476735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN19398PPNS00011
- Practice address
- 200 High Service Avenue
Marian Hall 1St Floor
North Providence, RI 02904 - Phone
- (401) 456-3649
- Fax
- (401) 752-8116
- NPI assigned
- Oct 4, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN19398PPNS00011 | RI | Primary |
Addresses
Primary practice location
200 High Service Avenue
Marian Hall 1St Floor
North Providence, RI 02904
Mailing address
200 High Service Avenue
Marian Hall 1St Floor
North Providence, RI 02904
Phone (401) 456-3649
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306579 | Other | RI | BLUE CROSS BLUE SHIELD |
| 6291652 | Other | RI | UNITED BEHAVIORAL HEALTH |
| 410711 | Other | RI | BLUE CHIP |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN19398PPNS00011 | RI | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Chartercare Sjhsri, LLC | Past | Accepting new patients | |
| St. Joseph Health Services of Rhode Island | Past | Accepting new patients | |
| St. Joseph Health Services of Rhode Island | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- North Providence, RI
- NPI 1588089759
-
- Psychiatry Physician
- North Providence, RI
- NPI 1326122557
-
- General Acute Care Hospital
- Providence, RI
- NPI 1356478002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1750476735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HIGH SERVICE AVENUE",
"address_2": "MARIAN HALL 1ST FLOOR",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-456-3649",
"fax_number": "401-752-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HIGH SERVICE AVENUE",
"address_2": "MARIAN HALL 1ST FLOOR",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-456-3649",
"fax_number": "401-752-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "CARLENE",
"middle_name": "J",
"credential": "APRN PCNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "RI",
"license": "RN19398PPNS00011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "306579",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6291652",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "410711",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.