Individual provider Active NPI

Ariana Ann Carvajal, WHNP

  • Women's Health Nurse Practitioner
  • Providence, RI
National Provider Identifier
1912438581
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN02380 Issued in RI
Practice address
1 Blackstone Street
2ND Floor
Providence, RI 02903
Phone
(401) 453-7520
Fax
(401) 453-7529
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F4214828-1 NY
Women's Health Nurse Practitioner 363LW0102X RN2305975 MA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X F421282-1 NY
Women's Health Nurse Practitioner 363LW0102X APRN02380 RI Primary

Addresses

Primary practice location

1 Blackstone Street
2ND Floor
Providence, RI 02903

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 273-6401

Other practice location 1

277 Pleasant St Ste 203
Fall River, MA 02721-3005
Phone (401) 453-7520

Other practice location 2

146 W River St
Providence, RI 02904-2609
Phone (401) 606-3000

Other practice location 3

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Other practice location 4

373 New Boston Rd Ste 3
Fall River, MA 02720-5814
Phone (401) 453-7520

Other names 1

  • Ariana Saccoccio Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acarvajal@wih.cernerdirect.carene.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200729002742 RI Practitioner - Nurse Practitioner 2860766565 Reassigns benefits to 1 organization
I20220105000090 MA Practitioner - Nurse Practitioner 2860766565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F4214828-1NYMDWomen's Health Nurse Practitioner
F421282-1NYMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Aug 31, 2020 Accepting new patients
Wih Faculty Physicians, Inc CurrentSince Feb 1, 2022 Accepting new patients
Affinity Physicians LLC. CurrentSince Aug 31, 2020 Accepting new patients
Planned Parenthood HP Past Accepting new patients
Wih Faculty Practice, Inc Past Accepting new patients

Locations

277 Pleasant St
Bldg 1
Fall River, MA 02721
Phone (212) 410-8000

373 New Boston Rd
Ste 3
Fall River, MA 02720
Phone (508) 235-3500

277 Pleasant St
Ste 203
Fall River, MA 02721
Phone (508) 673-1033

668 Eddy St
Ste 2
Providence, RI 02903

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Organizations & group practices 5

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 5

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1912438581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-6401",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLACKSTONE STREET",
            "address_2": "2ND FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-453-7520",
            "fax_number": "401-453-7529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Pleasant St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027213005",
            "country_code": "US",
            "telephone_number": "401-453-7520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 W River St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029042609",
            "country_code": "US",
            "telephone_number": "401-606-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "373 New Boston Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205814",
            "country_code": "US",
            "telephone_number": "401-453-7520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "ARIANA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F4214828-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2305975",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "F421282-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "RI",
            "license": "APRN02380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acarvajal@wih.cernerdirect.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Blackstone Street",
            "address_2": "2nd Floor",
            "city": "Providence",
            "state": "RI",
            "country_code": "US",
            "postal_code": "02903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ARIANA",
            "last_name": "SACCOCCIO",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.