Active NPI
Nindi Tiemo, APRN
- Family Nurse Practitioner
- Central Falls, RI
National Provider Identifier
1760116859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN04259
- Practice address
- 1000 Broad St
Central Falls, RI 02863-1507 - Phone
- (401) 722-0081
- NPI assigned
- Jul 13, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN62565 | RI | |
| Family Nurse Practitioner | 363LF0000X | 10809 | CT | |
| Family Nurse Practitioner | 363LF0000X | APRN04259 | RI | Primary |
Addresses
Primary practice location
1000 Broad St
Central Falls, RI 02863-1507
Mailing address
1 Shaws CV
New London, CT 06320-4902
Phone (860) 447-8304
Other practice location 1
1 Shaws Cv
New London, CT 06320-4902
Phone (860) 447-8304
Other practice location 2
111 Brewster St
Pawtucket, RI 02860-4400
Phone (401) 729-2304
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ntiemo@direct.carene.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN62565 | RI | MD | Registered Nurse |
| 10809 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackstone Valley Community Health Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- nindi.tiemo.p1@direct.bvchc.nextgenshare.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Pawtucket, RI
- NPI 1063574135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1760116859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHAWS CV",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063204902",
"telephone_number": "860-447-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BROAD ST",
"city": "CENTRAL FALLS",
"state": "RI",
"postal_code": "028631507",
"telephone_number": "401-722-0081"
}
],
"practiceLocations": [
{
"address_1": "1 Shaws Cv",
"address_purpose": "LOCATION",
"city": "New London",
"state": "CT",
"postal_code": "063204902",
"country_code": "US",
"telephone_number": "860-447-8304",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Brewster St",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028604400",
"country_code": "US",
"telephone_number": "401-729-2304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIEMO",
"first_name": "NINDI",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-13",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN62565",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "10809",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN04259",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ntiemo@direct.carene.org",
"affiliation": "N",
"address_1": "111 Brewster St",
"city": "Pawtucket",
"state": "RI",
"country_code": "US",
"postal_code": "028604400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Central Falls, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.