Individual provider Active NPI

Alicia Patalano, APRN

  • Family Nurse Practitioner
  • Providence, RI
National Provider Identifier
1992263529
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02161 Issued in RI
Practice address
1085 N Main St
Providence, RI 02904-5719
Phone
(401) 415-4618
Fax
(401) 415-4348
NPI assigned
Mar 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2288263 MA
Family Nurse Practitioner 363LF0000X APRN02161 RI Primary

Addresses

Primary practice location

1085 N Main St
Providence, RI 02904-5719

Mailing address

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4618

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
I20200807001385 RI Practitioner - Nurse Practitioner 8224462072 Reassigns benefits to 3 organizations
I20201012001519 MA Practitioner - Nurse Practitioner 8224462072 Reassigns benefits to 1 organization

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
Hopehealth Hospice and Palliative CareGroup PAC ID 4587659255, 46 clinicians

Practice addresses (Care Compare)

10 Emory St
Attleboro, MA 02703-3089
Phone (401) 415-4618

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4275

211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2288263MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Hospice & Palliative Care CurrentSince Apr 9, 2020 Accepting new patients
Rhode Island Hospital CurrentSince Nov 1, 2022 Accepting new patients
Hopehealth Hospice & Palliative Care CurrentSince Apr 9, 2020 Accepting new patients
Rhode Island Hospital Family CurrentSince Nov 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients
Rhode Island Hospital Past Accepting new patients

Locations

10 Emory St
Attleboro, MA 02703
Phone (401) 415-4618

1324 Belmont St
Ste 202
Brockton, MA 02301
Phone (401) 415-4618

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

1085 N Main St
Providence, RI 02904
Phone (401) 415-4200

593 Eddy St
Bldg 1ST
Providence, RI 02903

593 Eddy St
Providence, RI 02903

2 Dudley St
Providence, RI 02905
Phone (401) 444-2299

Organizations & group practices 7

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": "1551484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1992263529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045719",
            "telephone_number": "401-415-4618",
            "fax_number": "401-415-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045719",
            "telephone_number": "401-415-4618",
            "fax_number": "401-415-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATALANO",
        "first_name": "ALICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-02",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2288263",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.