Individual provider Active NPI

Claire Wicks-Tucker, FNP-BC

  • Family Nurse Practitioner
  • Providence, RI
National Provider Identifier
1992669626
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN04944 Issued in RI
Practice address
111 Plain St FL 2
Providence, RI 02903-4816
Phone
(401) 444-8361
NPI assigned
Dec 16, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN04944 RI Primary

Addresses

Primary practice location

111 Plain St FL 2
Providence, RI 02903-4816

Mailing address

111 Plain St FL 2
Providence, RI 02903-4816
Phone (401) 444-8361

Other practice location 1

460 Smithfield Ave
Pawtucket, RI 02860-2576
Phone (401) 305-0080

Other practice location 2

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260521001988 RI Practitioner - Nurse Practitioner 4981174778

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15 La Salle SQ
Providence, RI 02903-1814

455 Toll Gate Rd
Warwick, RI 02886-2770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN04944RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iaso Health Group LLC CurrentSince Dec 21, 2025 Accepting new patients
Taylor Health Enterprises, LLC Family PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 2

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": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1992669626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PLAIN ST FL 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034816",
            "telephone_number": "401-444-8361",
            "fax_number": "401-444-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PLAIN ST FL 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034816",
            "telephone_number": "401-444-8361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Smithfield Ave",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028602576",
            "country_code": "US",
            "telephone_number": "401-305-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1122",
            "fax_number": "401-453-7571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKS-TUCKER",
        "first_name": "CLAIRE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.