Individual provider Active NPI

Elizabeth Marie Raposa, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, RI
National Provider Identifier
1912264987
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN02160 Issued in RI
Practice address
38 Amaral St
Riverside, RI 02915-2205
Phone
(401) 521-5800
Fax
(401) 827-1933
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN37247 RI
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X PPNS00105 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN02160 RI Primary

Addresses

Primary practice location

38 Amaral St
Riverside, RI 02915-2205

Mailing address

38 Amaral St
Riverside, RI 02915-2205
Phone (401) 521-5800

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
I20120613000079 RI Practitioner - Certified Clinical Nurse Specialist (CNS) 0648434100 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN37247RIMDPsychiatric/Mental Health Registered Nurse
APRN02160RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thundermist Health Center Current Accepting new patients
Thundermist Health Center CurrentSince Apr 13, 2012 Accepting new patients
Equanimity LLC Psychiatric/Mental Health Current Accepting new patients
Thundermist Health Center CurrentSince Apr 13, 2012 Accepting new patients

Locations

38 Amaral St
Riverside, RI 02915
Phone (401) 438-3300

25 John a Cummings Way
Ste 302
Woonsocket, RI 02895

450 Clinton St
Woonsocket, RI 02895

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1912264987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 AMARAL ST",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152205",
            "telephone_number": "401-521-5800",
            "fax_number": "401-827-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 AMARAL ST",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152205",
            "telephone_number": "401-521-5800",
            "fax_number": "401-827-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPOSA",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN37247",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "RI",
            "license": "PPNS00105",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.