Active NPI
Elizabeth Da Silva, APRN
- Family Nurse Practitioner
- North Providence, RI
National Provider Identifier
1982208484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN02191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15018818 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN02191 | RI | MD | Family 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Providence, RI
- NPI 1003590365
MA, RI
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.