Individual provider Active NPI

Sandra Lucia Carruthers, APRN CNP

  • Family Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1841925633
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03161 Issued in RI
Practice address
55 Long St
Warwick, RI 02886-7723
Phone
(401) 215-4921
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN03161 RI Primary

Addresses

Primary practice location

55 Long St
Warwick, RI 02886-7723

Mailing address

55 Long St
Warwick, RI 02886-7723
Phone (401) 215-4921

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
I20230125000697 RI Practitioner - Nurse Practitioner 5991176208 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN03161RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care Rhode Island PLLC CurrentSince Dec 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 17, 2023 Accepting new patients

Locations

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

270 Bellevue Ave
Newport, RI 02840
Phone (203) 843-2264

50 Maude St
Providence, RI 02908
Phone (401) 456-2200

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1841925633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LONG ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867723",
            "telephone_number": "401-215-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LONG ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867723",
            "telephone_number": "401-215-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTHERS",
        "first_name": "SANDRA",
        "middle_name": "LUCIA",
        "credential": "APRN CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.