Individual provider Active NPI

Jillian Henry, N.P.

  • Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1760916357
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN01569 Issued in RI
Practice address
176 Toll Gate Rd Ste 101
Warwick, RI 02886-4479
Phone
(401) 737-9240
Fax
(401) 739-6413
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN01569 RI Primary

Addresses

Primary practice location

176 Toll Gate Rd Ste 101
Warwick, RI 02886-4479

Mailing address

55 Claverick St FL 2
Providence, RI 02903-4144

Other practice location 1

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000

Other identifiers 1

IdentifierTypeStateIssuer
APRN01569OtherRILICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhenry11627@direct.lifespan.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20170525000459 RI Practitioner - Nurse Practitioner 9133496052 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN01569RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
Coastal Medical Physicians, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Coastal Medical Physicians, Inc. Nurse Practitioner CurrentSince Jul 1, 2023 Accepting new patients
Brown Emergency Medicine Nurse Practitioner CurrentSince Jul 13, 2017 Accepting new patients
University Orthopedics, Inc. CurrentSince Dec 4, 2023 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Lifespan Physician Group, Inc. Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
University Orthopedics, Inc. CurrentSince Dec 4, 2023 Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

125 Whipple St
Ste 3
Providence, RI 02908
Phone (401) 854-2504

593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504

593 Eddy St
Providence, RI 02903

593 Eddy St
Lowr
Providence, RI 02903
Phone (401) 444-4471

55 Claverick St
Fl 2
Providence, RI 02903

176 Toll Gate Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-9240

Interoperability endpoints

  • Direct secure messaging: jhenry11627@brownhealth.medalliesdirect.net

Organizations & group practices 10

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1760916357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CLAVERICK ST FL 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 TOLL GATE RD STE 101",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864479",
            "telephone_number": "401-737-9240",
            "fax_number": "401-739-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JILLIAN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN01569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN01569",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhenry11627@direct.lifespan.org",
            "affiliation": "N",
            "address_1": "176 Toll Gate Rd Ste 101",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028864479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.