WELLCARE INC NPI 1235182783

NPI Information

NPI: 1235182783
Provider Name: WELLCARE INC
Classification: Nurse Practitioner - 363LW0102X
Specialization: Women's Health
Entity Type: Organization
CLIA Number: 41D1004369
Address: 1524 ATWOOD AVE
SUITE 243
JOHNSTON, RI
ZIP 02919
Phone: (401) 272-8773

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NPI Details

WELLCARE INC is a women's health nurse practitioner in Johnston, RI. WELLCARE INC NPI is 1235182783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1524 ATWOOD AVE
SUITE 243
JOHNSTON, RI
ZIP 02919-228
Phone: (401) 272-8773
Fax: (401) 272-8770

The provider's authorized official is Claire Amanda Nadeau .
The authorized official title is President and has the following contact phone number (401) 272-8773.

The CLIA number assigned to this NPI record is 41D1004369 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	NPP184	RHODE ISLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WC44529	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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