Individual provider Active NPI

Rita Ilene Shiff, PA-C

  • Physician Assistant
  • Providence, RI
National Provider Identifier
1770799355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
RI PA00151 Issued in RI
Practice address
Brown University Health Services
Box 1928
Providence, RI 02912-0001
Phone
(401) 863-3954
Fax
(401) 863-7953
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X RI PA00151 RI Primary

Addresses

Primary practice location

Brown University Health Services
Box 1928
Providence, RI 02912-0001

Mailing address

Brown University Health Services
Box 1928
Providence, RI 02912-0001
Phone (401) 863-3954

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

State licenses

LicenseStateTypeSpecialty
RI PA00151RIMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770799355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BROWN UNIVERSITY HEALTH SERVICES",
            "address_2": "BOX 1928",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029120001",
            "telephone_number": "401-863-3954",
            "fax_number": "401-863-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROWN UNIVERSITY HEALTH SERVICES",
            "address_2": "BOX 1928",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029120001",
            "telephone_number": "401-863-3954",
            "fax_number": "401-863-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFF",
        "first_name": "RITA",
        "middle_name": "ILENE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "RI PA00151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.