Individual provider Active NPI

Ann Pearce Bisland, APRN

  • Child & Adolescent Psychiatry Physician
  • Wakefield, RI
National Provider Identifier
1821465386
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
APRN00773 Issued in RI
Practice address
231 Old Tower Hill Rd Ste 208
Wakefield, RI 02879-3708
Phone
(646) 386-6291
Fax
(949) 655-2738
NPI assigned
Aug 31, 2015
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN00773 RI
Pediatric Nurse Practitioner 363LP0200X 113353 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN00773 RI
Child & Adolescent Psychiatry Physician 2084P0804X APRN00773 RI Primary

Addresses

Primary practice location

231 Old Tower Hill Rd Ste 208
Wakefield, RI 02879-3708

Mailing address

231 Old Tower Hill Rd Ste 208
Wakefield, RI 02879-3708
Phone (646) 386-6291

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN00773RIMDChild & Adolescent Psychiatry Physician
113353CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CMB Wellness LLC Child & Adolescent Psychiatry CurrentSince Mar 19, 2023 Accepting new patients

Locations

231 Old Tower Hill Rd
Ste 208
Wakefield, RI 02879
Phone (401) 284-7414

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1821465386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 OLD TOWER HILL RD STE 208",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793708",
            "telephone_number": "646-386-6291",
            "fax_number": "949-655-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 OLD TOWER HILL RD STE 208",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793708",
            "telephone_number": "646-386-6291",
            "fax_number": "949-655-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISLAND",
        "first_name": "ANN",
        "middle_name": "PEARCE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "RI",
            "license": "APRN00773",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "113353",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN00773",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "RI",
            "license": "APRN00773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.