Individual provider Active NPI

Jennifer L Grande, CNM

  • Advanced Practice Midwife
  • East Greenwich, RI
National Provider Identifier
1831579911
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM00151 Issued in RI
Practice address
1407 S County TRL
East Greenwich, RI 02818-1652
Phone
(401) 727-4800
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM00151 RI Primary

Addresses

Primary practice location

1407 S County TRL
East Greenwich, RI 02818-1652

Mailing address

1407 S County TRL
East Greenwich, RI 02818-1652
Phone (401) 727-4800

Other practice location 1

450 Veterans Memorial Pkwy Ste 401
East Providence, RI 02914-5315
Phone (401) 434-7853

Other practice location 2

18 Imperial Pl Unit 2D
Providence, RI 02903-4642
Phone (401) 727-4800

Other practice location 3

21 Division St
Pawtucket, RI 02860-5352
Phone (401) 727-4800

Other practice location 4

115 Cass Ave
Woonsocket, RI 02895-4705
Phone (401) 769-4100

Other practice location 5

206 Cass Ave
Woonsocket, RI 02895-4712
Phone (401) 769-4100

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817000891 RI Practitioner - Certified Nurse Midwife (CNM) 9931414265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Services Landmark LLCGroup PAC ID 3274761069, shared by 5 NPIs, 48 clinicians

Practice addresses (Care Compare)

206 Cass Ave
Woonsocket, RI 02895-4712

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC CurrentSince Jun 13, 2025 Accepting new patients
Prime Healthcare Services Landmark LLC Advanced Practice Midwife CurrentSince Dec 23, 2020 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Dec 23, 2020 Accepting new patients
Prime Healthcare Services Landmark LLC Past Accepting new patients

Locations

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

115 Cass Ave
#1
Woonsocket, RI 02895
Phone (401) 228-0606

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1831579911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181652",
            "telephone_number": "401-727-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181652",
            "telephone_number": "401-727-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Veterans Memorial Pkwy Ste 401",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145315",
            "country_code": "US",
            "telephone_number": "401-434-7853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Imperial Pl Unit 2D",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034642",
            "country_code": "US",
            "telephone_number": "401-727-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Division St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028605352",
            "country_code": "US",
            "telephone_number": "401-727-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954705",
            "country_code": "US",
            "telephone_number": "401-769-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954712",
            "country_code": "US",
            "telephone_number": "401-769-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "RI",
            "license": "CNM00151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.