Individual provider Active NPI

Niki Zorrilla

  • Community Health Worker
  • Central Falls, RI
National Provider Identifier
1790578003
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
201716 Issued in RI
Practice address
626 Broad St
Central Falls, RI 02863-2835
Phone
(401) 728-5920
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 201716 RI Primary
Health & Wellness Coach 171400000X

Addresses

Primary practice location

626 Broad St
Central Falls, RI 02863-2835

Mailing address

626 Broad St
Central Falls, RI 02863-2835
Phone (401) 728-5920

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
201716RIMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Progreso Latino Inc CurrentSince Jun 3, 2025 Accepting new patients
Maxim Healthcare Services Inc PastSince Jun 3, 2025 Accepting new patients

Locations

626 Broad St
Central Falls, RI 02863
Phone (401) 728-5920

Organizations & group practices 2

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1790578003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 BROAD ST",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028632835",
            "telephone_number": "401-728-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 BROAD ST",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028632835",
            "telephone_number": "401-728-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORRILLA",
        "first_name": "NIKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "RI",
            "license": "201716",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 28, 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.

Verify at the official NPI Registry.