Audrey Ross, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Providence, RI
NPI 1780248922 · NPPES record last updated Feb 7, 2020
Key facts
- NPI
- 1780248922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- APRN02028 (RI)
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-4000
- NPI assigned
- Apr 23, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN02028 | RI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Kids R.I. Sick Care LLC | Past | Accepting new patients | |
| Blackstone Valley Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIBCAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN02028 | RI | Yes |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
593 Eddy St
Providence, RI 02903-4923
Other names
- Audrey McCormick
Other providers in Providence, RI
- Andrew Seth Rosenzweig
- Diana Marcela Rosero
- Rosewood Manor, LTD
- Richard Lewis Rosol
- Albert Ross
- Jessica Marie Ross
- Jonathon Michael Ross
- Maria Ross
- Sara Lynn Ross
- Sylvia P Ross
All providers in Providence, RI · Acute Care Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.