Individual provider Active NPI

Elaine Desrosiers Hart, NP

  • Nurse Practitioner
  • Barrington, RI
National Provider Identifier
1952302697
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN 16786 Issued in RI
Practice address
286 Maple Ave
Barrington, RI 02806-3437
Phone
(401) 247-0610
Fax
(401) 245-7362
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN 16786 RI Primary

Addresses

Primary practice location

286 Maple Ave
Barrington, RI 02806-3437

Mailing address

1180 Hope St
Bristol, RI 02809-1126
Phone (401) 247-0610

Other identifiers 7

IdentifierTypeStateIssuer
697704OtherRIHARVARD PILGRIM HEALTH
AD00546MedicaidRI
0000030891OtherRIB/S
406137OtherRITUFTS HEALTH PLANS
04-00518OtherRIUNITED HEALTH CARE
405673OtherRIBCHIP
3862OtherRINEIGHBORHOOH HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 16786RIMDNurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1952302697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 HOPE ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091126",
            "telephone_number": "401-247-0610",
            "fax_number": "401-245-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 MAPLE AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063437",
            "telephone_number": "401-247-0610",
            "fax_number": "401-245-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ELAINE",
        "middle_name": "DESROSIERS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "RN 16786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "697704",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD00546",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S",
            "identifier": "0000030891",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "406137",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "04-00518",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHIP",
            "identifier": "405673",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOH HEALTH PLANS",
            "identifier": "3862",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.