SIOBHAN BOURGET FNP NPI 1366140410

NPI Information

  • NPI: 1366140410
  • Provider Name: SIOBHAN BOURGET, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 593 EDDY ST
    4TH FLOOR MEDICAL ICU
    PROVIDENCE, RI
    ZIP 02903
  • Phone: (401) 444-4000

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NPI Details

Siobhan Bourget, FNP is a family nurse practitioner in Providence, RI with 5 years of experience. Siobhan Bourget, FNP NPI is 1366140410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

593 EDDY ST
4TH FLOOR MEDICAL ICU
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-4000

The NPI 1366140410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2023 and was last updated on 12/18/2023.

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
1163WC0200XRegistered NurseCritical Care MedicineRN50929RHODE ISLANDNo
2163WC0200XRegistered NurseCritical Care MedicineRN2289655MASSACHUSETTSNo
3363LF0000XNurse PractitionerFamilyAPRN03798RHODE ISLANDYes

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
10000000OTHERDO NOT HAVE NUMBERS

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

NPI Synchronization or Removal

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