Individual provider Active NPI

Jessica J Harris, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, RI
National Provider Identifier
1942970710
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN03567 Issued in RI
Practice address
1275 Wampanoag TRL Ste 9
Riverside, RI 02915-1217
Phone
(401) 352-8440
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN03567 RI Primary
Registered Nurse 163W00000X RN64505 RI

Addresses

Primary practice location

1275 Wampanoag TRL Ste 9
Riverside, RI 02915-1217

Mailing address

1275 Wampanoag TRL Ste 9
Riverside, RI 02915-1217
Phone (401) 352-8440

Other practice location 1

400 Massasoit Ave Ste 305
East Providence, RI 02914-2012
Phone (401) 294-0451

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
I20231201001038 RI Practitioner - Nurse Practitioner 6709234792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brainwise LLCGroup PAC ID 0840777694, 4 clinicians

Practice addresses (Care Compare)

1275 Wampanoag TRL
Suite 9
Riverside, RI 02915-1217
Phone (401) 352-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN64505RIMDRegistered Nurse
APRN03567RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brainwise LLC Psychiatric/Mental Health CurrentSince Dec 13, 2025 Accepting new patients

Locations

1275 Wampanoag Trl
Ste 9
Riverside, RI 02915
Phone (401) 352-8440

1275 Wampanoag Trl
Riverside, RI 02915
Phone (401) 405-0700

Interoperability endpoints

  • Direct secure messaging: jessica.harris.1@28623.direct.athenahealth.com

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1942970710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL STE 9",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-352-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL STE 9",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-352-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Massasoit Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029142012",
            "country_code": "US",
            "telephone_number": "401-294-0451",
            "fax_number": "401-294-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN03567",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN64505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.