Individual provider Active NPI

Euridice Nobre, PMHNP-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Lincoln, RI
National Provider Identifier
1952170367
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
APRN03950 Issued in RI
Practice address
652 George Washington Hwy Unit 400
Lincoln, RI 02865-4267
Phone
(401) 334-1830
Fax
(401) 334-1833
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 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 APRN03950 RI
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X APRN03950 RI Primary

Addresses

Primary practice location

652 George Washington Hwy Unit 400
Lincoln, RI 02865-4267

Mailing address

652 George Washington Hwy Unit 400
Lincoln, RI 02865-4267
Phone (401) 334-1830

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
I20240322001522 RI Practitioner - Nurse Practitioner 8123465465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care I of Rhode Island PCGroup PAC ID 1951793546, 53 clinicians

Practice addresses (Care Compare)

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN03950RIMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Psychiatric Services, Inc. Psychiatric/Mental Health, Adult CurrentSince Sep 9, 2024 Accepting new patients
Mindbridge Wellness Psychiatric/Mental Health Current Accepting new patients
Supportive Care I of Rhode Island PC CurrentSince Feb 22, 2024 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

652 George Washington Hwy
Unit 400
Lincoln, RI 02865
Phone (401) 334-1830

Organizations & group practices 3

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": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1952170367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 GEORGE WASHINGTON HWY UNIT 400",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654267",
            "telephone_number": "401-334-1830",
            "fax_number": "401-334-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 GEORGE WASHINGTON HWY UNIT 400",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654267",
            "telephone_number": "401-334-1830",
            "fax_number": "401-334-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBRE",
        "first_name": "EURIDICE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN03950",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "RI",
            "license": "APRN03950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.