Active NPI
Anna Faith Vankooten, FNP-C
- Family Nurse Practitioner
- Providence, RI
National Provider Identifier
1912714346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN04382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2340651 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - Ri Physicians Group, PC | Current | 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.
-
- Primary Care Clinic/Center
- Warwick, RI
- NPI 1063984813
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.