Active NPI
Jennifer Soto, AGPCNP - APRN
- Gerontology Nurse Practitioner
- East Greenwich, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN05278
- Practice address
- 1405 S County TRL Ste 1a
East Greenwich, RI 02818-5081 - Phone
- (401) 921-7290
- Fax
- (401) 921-6194
- NPI assigned
- Jul 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN05278 | RI | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN05278 | RI | Primary |
Addresses
Primary practice location
1405 S County TRL Ste 1a
East Greenwich, RI 02818-5081
Mailing address
455 Toll Gate Rd
PRC and Credentialing
Warwick, RI 02886
Phone (401) 273-0641
Other practice location 1
215 Toll Gate Rd Ste 104
Warwick, RI 02886-4463
Phone (401) 736-4576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG10230075 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Vision LLC | Current | Accepting new patients | |
| Premier Community Healthcare Group, Inc. | Current | Accepting new patients | |
| Premier Community Healthcare Group Inc | Current | Accepting new patients |
Locations
14027 5th St
Dade City, FL 33525
Phone (813) 782-6064
6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202
7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204
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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1144651373
-
- Federally Qualified Health Center (FQHC)
- Dade City, FL
- NPI 1841263399
-
- Federally Qualified Health Center (FQHC)
- Zephyrhills, FL
- NPI 1508445362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1760115620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"address_2": "PRC AND CREDENTIALING",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-273-0641",
"fax_number": "401-273-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 S COUNTY TRL STE 1A",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028185081",
"telephone_number": "401-921-7290",
"fax_number": "401-921-6194"
}
],
"practiceLocations": [
{
"address_1": "215 Toll Gate Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028864463",
"country_code": "US",
"telephone_number": "401-736-4576",
"fax_number": "401-921-9882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTO",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "AGPCNP - APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "RI",
"license": "APRN05278",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "RI",
"license": "APRN05278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.