Active NPI
Takeysha A Duarte, NP
- Family Nurse Practitioner
- Providence, RI
National Provider Identifier
1982185526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN01836
- Practice address
- 1 Randall SQ
Providence, RI 02904-2709 - Phone
- (401) 274-6339
- Fax
- (401) 453-6290
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1053313593
RI
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1558650986
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1083138572
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1417959867
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1558017319
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1174576342
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1508868035
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1669474102
-
- Federally Qualified Health Center (FQHC)
- Providence, RI
- NPI 1821120924
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Providence Community Health Centers Inc.
Practice addresses (Care Compare)
1 Randall SQ
Providence, RI 02904-2709
Phone (401) 274-6339
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181023003195 | RI | Practitioner - Nurse Practitioner | 5092068932 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN01836 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Providence Community Health Centers, Inc | Current | Accepting new patients | |
| The Providence Community Health Centers Inc. | Past | Accepting new patients | |
| Saint Francis Medical Center | Past | Accepting new patients |
Locations
1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500
375 Allens Ave
Providence, RI 02905
Phone (401) 444-0400
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN01836 | RI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1 Randall SQ
Providence, RI 02904-2709
Mailing address
375 Allens Ave
Providence, RI 02905-5010
Phone (401) 444-0400
Other practice location 1
135 Atwood Ave
Providence, RI 02904
Phone (617) 480-4122
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | takeysha.duarte@providencechc.directbygreenway.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2023.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1982185526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ALLENS AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029055010",
"telephone_number": "401-444-0400",
"fax_number": "401-444-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RANDALL SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042709",
"telephone_number": "401-274-6339",
"fax_number": "401-453-6290"
}
],
"practiceLocations": [
{
"address_1": "135 Atwood Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "02904",
"country_code": "US",
"telephone_number": "617-480-4122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUARTE",
"first_name": "TAKEYSHA",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2023-08-18",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "RI",
"license": "APRN01836",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "takeysha.duarte@providencechc.directbygreenway.com",
"affiliation": "N",
"address_1": "1 Randall Sq",
"city": "Providence",
"state": "RI",
"country_code": "US",
"postal_code": "029042709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.