MY PLACE FOR MEDICAL, LLC
NPI 1003630484
Nurse Practitioner - Family in Warwick, RI

Active since November 12, 2024CLIA 41D2321067 · Waiver
176 TOLL GATE RD STE 202, WARWICK, RI 02886(401) 363-6032(401) 384-7208 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About My Place For Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY PLACE FOR MEDICAL, LLC (NPI 1003630484), doing business as My Place For Medical Health & Wellness Clinic, is a healthcare organization registered as a family in Warwick, Rhode Island and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Maureen A Place, Family Nurse Practitioner / Owner, as its authorized official.

NPPES Registry Identity

NPI1003630484
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMY PLACE FOR MEDICAL, LLC
Location Address176 TOLL GATE RD STE 202Warwick, RI 02886-4480
Mailing Address176 Toll Gate Rd Ste 202Warwick, RI 02886-4480 · (401) 363-6032 · Fax (401) 384-7208
Fax(401) 384-7208
Organization SubpartNo
Authorized OfficialMaureen A PlaceFamily Nurse Practitioner / Owner · (401) 363-6032
Enumeration DateNovember 12, 2024
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
NPI 1003630484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
176 TOLL GATE RD STE 202, Warwick, RI 02886

Other Names 1

Doing Business AsMy Place For Medical Health & Wellness Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2321067

My Place For Medical, LLC · Warwick, RI
Active · expires Mar 27, 2027
CLIA Number41D2321067
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorMaureen A. Place
Laboratory Phone(401) 363-6032
Laboratory LocationMy Place For Medical, LLC176 Tollgate Rd Ste 202, Warwick, RI 02886
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Place For Medical, LLC's NPI number?

The NPI number for My Place For Medical, LLC is 1003630484. It was assigned to this organization in the NPPES registry on November 12, 2024. The provider is doing business as My Place for Medical Health & Wellness Clinic.

Where is My Place For Medical, LLC located?

My Place For Medical, LLC is located at 176 Toll Gate Rd Ste 202, Warwick, RI 02886. The listed phone number is (401) 363-6032.

What is My Place For Medical, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does My Place For Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2321067) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for My Place For Medical, LLC was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.