MR. ANDREW KOCIUBUK APNP NPI 1386241867

NPI Information

  • NPI: 1386241867
  • Provider Name: MR. ANDREW KOCIUBUK, APNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 HIGH SERVICE AVE
    NORTH PROVIDENCE, RI
    ZIP 02904
  • Phone: (401) 456-2000

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NPI Details

MR. Andrew Kociubuk, APNP is a psychiatric/mental health nurse practitioner in North Providence, RI with 5 years of experience. MR. Andrew Kociubuk, APNP NPI is 1386241867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI
ZIP 02904-113
Phone: (401) 456-2000

The NPI 1386241867 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 10/7/2020 and was last updated on 10/1/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health11039-33WISCONSINYes
2163WP0808XRegistered NursePsychiatric/Mental HealthRN.466178OHIONo

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
1RN.466178OTHEROHIOREGISTERED NURSE

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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