Active NPI
Jillian Henry, N.P.
- Nurse Practitioner
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN01569
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN01569 | Other | RI | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN01569 | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Corporation | Current | Accepting new patients | |
| Coastal Medical Physicians, Inc. | Current | Accepting new patients | |
| Coastal Medical Physicians, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Brown Emergency Medicine | Nurse Practitioner | Current | Accepting new patients |
| University Orthopedics, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| University Orthopedics, Inc. | Current | 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
- 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.
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1962455022
Nurse Practitioner
-
- Orthopaedic Surgery Physician
- Providence, RI
- NPI 1235181041
-
dba Brown Health Medical Group
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Pediatrics Physician
- Providence, RI
- NPI 1861420333
-
dba Brown Health Medical Group Primary Care
- Internal Medicine Physician
- Riverside, RI
- NPI 1093678104
-
dba Brown Health Medical Group Primary Care
- Internal Medicine Physician
- Providence, RI
- NPI 1780273540
Nurse Practitioner
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Brown Health Medical Group
- General Practice Physician
- Riverside, RI
- NPI 1215899869
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Nurse Practitioner
-
- Orthopaedic Surgery Physician
- Cranston, RI
- NPI 1285320093
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.