Active NPI
Jessica J Harris, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Riverside, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN03567
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN64505 | RI | MD | Registered Nurse |
| APRN03567 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brainwise LLC | Psychiatric/Mental Health | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.