Individual provider Active NPI

Cristiana Morena Ritwik, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cranston, RI
National Provider Identifier
1932199858
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN01519 Issued in RI
Practice address
747 Pontiac Ave
Ste 214
Cranston, RI 02910-5825
Phone
(401) 632-4470
Fax
(401) 632-4470
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X APRN00509 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN01519 RI Primary

Addresses

Primary practice location

747 Pontiac Ave
Ste 214
Cranston, RI 02910-5825

Mailing address

400 Reservoir Ave Ste 2G
Providence, RI 02907-3594
Phone (401) 632-4470

Other identifiers 9

IdentifierTypeStateIssuer
1038660OtherRIBEACON HEALTH STRATEGIES
APRN00509OtherRIRI ADVANCED PRACTICE NURING LICENSE
CAPRN00509OtherRHODE ISLAND CONTROLLED SUBSTANCE REGISTRATION
CAPRN01519OtherRIRI CONTROLLED SUBSTANCE REGISTRATION
21585-9OtherRIBLUE CROSS BLUE SHIELD
410117OtherRIBLUE CHIP
2220656OtherRICIGNA
899004015OtherRIMEDICARE PTAN
APRN01519OtherRIRHODE ISLAND PROFESSIONAL LICENSE

Other names 1

  • Cristiana Rosa Former name

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
I20050228000097 RI Practitioner - Certified Clinical Nurse Specialist (CNS) 0648222448 Reassigns benefits to 2 organizations
Practice locations: Providence, RI

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Reservoir Ave
Suite 2G
Providence, RI 02907-3594
Phone (401) 632-4470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN01519RIMDPsychiatric/Mental Health Nurse Practitioner
APRN00509RIMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Behavioral Health CurrentSince Apr 23, 2024 Accepting new patients
Mental Health Consultant Service CurrentSince Dec 12, 2017 Accepting new patients

Locations

400 Reservoir Ave
Ste 2G
Providence, RI 02907
Phone (401) 203-5011

75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1932199858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RESERVOIR AVE STE 2G",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029073594",
            "telephone_number": "401-632-4470",
            "fax_number": "401-632-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONTIAC AVE",
            "address_2": "STE 214",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105825",
            "telephone_number": "401-632-4470",
            "fax_number": "401-632-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITWIK",
        "first_name": "CRISTIANA",
        "middle_name": "MORENA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "RI",
            "license": "APRN00509",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN01519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1038660",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI ADVANCED PRACTICE NURING LICENSE",
            "identifier": "APRN00509",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "CAPRN00509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "CAPRN01519",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21585-9",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "410117",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2220656",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "899004015",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND PROFESSIONAL LICENSE",
            "identifier": "APRN01519",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTIANA",
            "last_name": "ROSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.