Active NPI
Chantal Nicole Tape, MD
- Family Medicine Physician
- Woonsocket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD20727
- Practice address
- 450 Clinton St
Woonsocket, RI 02895-3207 - Phone
- (401) 767-4100
- NPI assigned
- Apr 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD479049 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD20727 | RI | Primary |
Addresses
Primary practice location
450 Clinton St
Woonsocket, RI 02895-3207
Mailing address
450 Clinton St
Woonsocket, RI 02895-3207
Phone (401) 767-4100
Other practice location 1
1 River St
Wakefield, RI 02879-3214
Phone (401) 767-4100
Other practice location 2
186 Providence St
West Warwick, RI 02893-2508
Phone (401) 767-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Warren Alpert Medical School of Brown University, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Clinton St
Woonsocket, RI 02895-3207
Phone (401) 767-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thundermist Health Center | Current | Accepting new patients | |
| Thundermist Health Center | Current | Accepting new patients | |
| Philadelphia Fight | Current | Accepting new patients | |
| Thundermist Health Center | Current | Accepting new patients | |
| Philadelphia Fight | Current | Accepting new patients |
Locations
1233 Locust St
Philadelphia, PA 19107
Phone (215) 790-1788
1233 Locust St
Ste 500
Philadelphia, PA 19107
Phone (215) 790-1788
1207 Chestnut St
Fl 3
Philadelphia, PA 19107
Phone (215) 564-6388
1 River St
Wakefield, RI 02879
Phone (401) 783-0523
186 Providence St
West Warwick, RI 02893
Phone (401) 615-2800
25 John a Cummings Way
Ste 302
Woonsocket, RI 02895
191 Social St
Woonsocket, RI 02895
Phone (401) 597-6500
450 Clinton St
Woonsocket, RI 02895
Interoperability endpoints
- chantal.tape@217526021193732.direct.elationemr.com
- https://fhir4.healow.com/fhir/r4/DCBEAA
Organizations & group practices 5
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)
- Wakefield, RI
- NPI 1700041001
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1760507859
-
- Federally Qualified Health Center (FQHC)
- Narragansett, RI
- NPI 1265190292
-
- Federally Qualified Health Center (FQHC)
- Woonsocket, RI
- NPI 1588691620
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1487082608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1992324719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLINTON ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953207",
"telephone_number": "401-767-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLINTON ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953207",
"telephone_number": "401-767-4100"
}
],
"practiceLocations": [
{
"address_1": "1 River St",
"address_purpose": "LOCATION",
"city": "Wakefield",
"state": "RI",
"postal_code": "028793214",
"country_code": "US",
"telephone_number": "401-767-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "186 Providence St",
"address_purpose": "LOCATION",
"city": "West Warwick",
"state": "RI",
"postal_code": "028932508",
"country_code": "US",
"telephone_number": "401-767-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAPE",
"first_name": "CHANTAL",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-12",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD479049",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD20727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.