Individual provider Active NPI

Karen McDonald, PCNS

  • Psychiatric/Mental Health Registered Nurse
  • East Greenwich, RI
National Provider Identifier
1841236718
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
PPNS00029 Issued in RI
Practice address
1351 S County TRL
Building 2 Suite 210
East Greenwich, RI 02818-5079
Phone
(401) 884-2008
Fax
(401) 884-2075
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X PPNS00029 RI Primary

Addresses

Primary practice location

1351 S County TRL
Building 2 Suite 210
East Greenwich, RI 02818-5079

Mailing address

1351 S County TRL
Building 2 Suite 210
East Greenwich, RI 02818-5079
Phone (401) 884-2008

Other identifiers 3

IdentifierTypeStateIssuer
30450-2OtherRIBLUE CROSS & BLUE SHIELD
407855OtherRICOORDINATED HEALTH PLANS
05-0468084OtherRIUNITED HEALTH PLANS

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000004 RI Practitioner - Certified Clinical Nurse Specialist (CNS) 5890762470 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PPNS00029RIMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Chartercare RWMC, LLC CurrentSince Jun 1, 2016 Accepting new patients
Community Care Alliance CurrentSince Jan 25, 2016 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Jun 1, 2014 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince Jun 1, 2016 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Jun 1, 2014 Accepting new patients
Victa LLC CurrentSince Mar 10, 2020 Accepting new patients
St. Joseph Health Services of Rhode Island Past Accepting new patients
St. Joseph Health Services of Rhode Island Past Accepting new patients
Angell Street Psychiatry LTD Psychiatric/Mental Health PastSince Mar 12, 1993 Accepting new patients

Locations

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

200 High Service Ave
#3
North Providence, RI 02904
Phone (401) 456-3649

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

110 Elmwood Ave
Providence, RI 02907
Phone (401) 300-5757

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

55 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 766-3330

Organizations & group practices 9

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1841236718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "BUILDING 2 SUITE 210",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185079",
            "telephone_number": "401-884-2008",
            "fax_number": "401-884-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 S COUNTY TRL",
            "address_2": "BUILDING 2 SUITE 210",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028185079",
            "telephone_number": "401-884-2008",
            "fax_number": "401-884-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KAREN",
        "credential": "PCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "RI",
            "license": "PPNS00029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "30450-2",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COORDINATED HEALTH PLANS",
            "identifier": "407855",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLANS",
            "identifier": "05-0468084",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.