Individual provider Active NPI

Elizabeth Da Silva, APRN

  • Family Nurse Practitioner
  • North Providence, RI
National Provider Identifier
1982208484
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02191 Issued in RI
Practice address
1243 Mineral Spring Ave Unit 7
North Providence, RI 02904-4636
Phone
(401) 388-3899
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN02191 RI Primary

Addresses

Primary practice location

1243 Mineral Spring Ave Unit 7
North Providence, RI 02904-4636

Mailing address

1243 Mineral Spring Ave Unit 7
North Providence, RI 02904-4636
Phone (401) 388-3899

Other identifiers 1

IdentifierTypeStateIssuer
15018818OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211019003352 RI Practitioner - Nurse Practitioner 3274921531 Reassigns benefits to 1 organization
I20260318003481 MA Practitioner - Nurse Practitioner 3274921531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Columbus Ave
Pawtucket, RI 02860-5550

679 Washington St
Suite 3
South Attleboro, MA 02703-8408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN02191RIMDFamily Nurse Practitioner

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1982208484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 MINERAL SPRING AVE UNIT 7",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044636",
            "telephone_number": "401-388-3899",
            "fax_number": "401-340-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 MINERAL SPRING AVE UNIT 7",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044636",
            "telephone_number": "401-388-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DA SILVA",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15018818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.