Individual provider Active NPI

Anne Therese Valez, FNP-BC

  • Family Nurse Practitioner
  • Pawtucket, RI
National Provider Identifier
1982062246
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN00784 Issued in RI
Practice address
126 Prospect St
Pawtucket, RI 02860-4476
Phone
(401) 244-5900
Fax
(401) 262-5501
NPI assigned
Feb 2, 2016
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN00784 RI
Family Nurse Practitioner 363LF0000X APRN00784 RI Primary

Addresses

Primary practice location

126 Prospect St
Pawtucket, RI 02860-4476

Mailing address

126 Prospect St
Pawtucket, RI 02860-4476
Phone (401) 244-5900

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
I20160502000104 RI Practitioner - Nurse Practitioner 0749589497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

126 Prospect St
Suite 201
Pawtucket, RI 02860-4429
Phone (401) 244-5900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Carpentier, MD Family Healthcare LTD CurrentSince Aug 22, 2017 Accepting new patients
Pawtucket Primary Care LLC Family CurrentSince Jul 25, 2023 Accepting new patients

Locations

495 Atwood Ave
Cranston, RI 02920
Phone (401) 263-4234

126 Prospect St
Pawtucket, RI 02860
Phone (401) 244-5900

126 Prospect St
Ste 201
Pawtucket, RI 02860
Phone (401) 244-5900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDJBDD/Endpoint/DDJBDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1982062246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604476",
            "telephone_number": "401-244-5900",
            "fax_number": "401-262-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROSPECT ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604476",
            "telephone_number": "401-244-5900",
            "fax_number": "401-262-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALEZ",
        "first_name": "ANNE",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN00784",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.