Okechukwu Chukwuma Anidi, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Warwick, RI
NPI 1992390967 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1992390967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- RN2264676 (MA)
- Practice address
- 75 Lambert Lind Hwy Ste 120-100
Warwick, RI 02886-1131 - Phone
- (401) 681-4274
- Fax
- (401) 681-4285
- NPI assigned
- Mar 2, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quality Behavioral Health
Practice addresses (Care Compare)
75 Lambert Lind Hwy
Warwick, RI 02886-1131
Phone 4016814274113
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220426000204 | MA | Practitioner - Nurse Practitioner | 8224425095 | |
| I20240112000951 | RI | Practitioner - Nurse Practitioner | 8224425095 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2264676 | MA | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Behavioral Health | Current |
Accepting new patients |
Locations
75 Lambert Lind Hwy
Ste 120100
Warwick, RI 02886
Phone (401) 681-4274
75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN03130 | RI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2264676 | MA | Yes |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN2264676 | MA |
Addresses
Primary practice location
75 Lambert Lind Hwy Ste 120-100
Warwick, RI 02886-1131
Mailing address
75 Lambert Lind Hwy Ste 120-100
Warwick, RI 02886-1131
Phone (401) 681-4274
Other practice location 1
1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (508) 408-9200
Other providers in Warwick, RI
- Anesthesia Associates of Kent County
- Anesthesia Associates of Kent County, LLC
- Anesthesia Associates of Kent County, LLC
- Angell Street Psychiatry LTD
- Victoria Paz Angenent-Mari
- Winna R Annan-Hinds
- Donna Ellen Annicelli
- Armenag Antranigian
- Kaan Zeki Apaydin
- Apex Medical Transportation LLC
All providers in Warwick, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.