Individual provider Active NPI

Anna Faith Vankooten, FNP-C

  • Family Nurse Practitioner
  • Providence, RI
National Provider Identifier
1912714346
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN04382 Issued in RI
Practice address
650 Branch Ave Ste 6
Providence, RI 02904-1728
Phone
(401) 233-5055
NPI assigned
Dec 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2340651 MA
Family Nurse Practitioner 363LF0000X APRN04382 RI Primary

Addresses

Primary practice location

650 Branch Ave Ste 6
Providence, RI 02904-1728

Mailing address

PO Box 746088
Atlanta, GA 30374-6088

Other practice location 1

698 Smithfield Rd
North Providence, RI 02904-2935
Phone (401) 346-3401

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
I20250217001043 RI Practitioner - Nurse Practitioner 4082144357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - Ri Physicians Group PCGroup PAC ID 5193051936, 32 clinicians

Practice addresses (Care Compare)

650 Branch Ave
Suite 6
Providence, RI 02904-1728
Phone (401) 536-9144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2340651MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - Ri Physicians Group, PC CurrentSince Mar 17, 2025 Accepting new patients

Locations

650 Branch Ave
Ste 6
Providence, RI 02904
Phone (401) 233-5055

300 Quaker Ln
Warwick, RI 02886
Phone (401) 233-5051

Organizations & group practices 1

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": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1912714346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746088",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BRANCH AVE STE 6",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041728",
            "telephone_number": "401-233-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "698 Smithfield Rd",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029042935",
            "country_code": "US",
            "telephone_number": "401-346-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANKOOTEN",
        "first_name": "ANNA",
        "middle_name": "FAITH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2340651",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.