Individual provider Active NPI

Okechukwu Chukwuma Anidi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1992390967
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2264676 Issued in 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
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN03130 RI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2264676 MA Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20220426000204 MA Practitioner - Nurse Practitioner 8224425095
I20240112000951 RI Practitioner - Nurse Practitioner 8224425095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Behavioral HealthGroup PAC ID 7113968694, 22 clinicians

Practice addresses (Care Compare)

75 Lambert Lind Hwy
Warwick, RI 02886-1131
Phone 4016814274113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Behavioral Health CurrentSince Dec 27, 2023 Accepting new patients

Locations

75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778

75 Lambert Lind Hwy
Ste 120100
Warwick, RI 02886
Phone (401) 681-4274

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1992390967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LAMBERT LIND HWY STE 120-100",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861131",
            "telephone_number": "401-681-4274",
            "fax_number": "401-681-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LAMBERT LIND HWY STE 120-100",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861131",
            "telephone_number": "401-681-4274",
            "fax_number": "401-681-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boston Medical Ctr Pl",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182908",
            "country_code": "US",
            "telephone_number": "508-408-9200",
            "fax_number": "857-241-5492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANIDI",
        "first_name": "OKECHUKWU",
        "middle_name": "CHUKWUMA",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN03130",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2264676",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2264676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.