PVD CARES WELLNESS CENTER LLC
NPI 1063059244
Nurse Practitioner in Pawtucket, RI

Active since December 05, 2019
126 PROSPECT ST STE 105, PAWTUCKET, RI 02860(401) 753-2526(401) 235-4152 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2021, Aug 21, 2020, Feb 28, 2020 and 1 more (4 updates tracked since 2019).

About Pvd Cares Wellness Center Llc NPPES

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

PVD CARES WELLNESS CENTER LLC (NPI 1063059244) is a healthcare organization registered as a nurse practitioner in Pawtucket, Rhode Island and active in the NPI registry since December 2019. The organization lists Effien King, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063059244
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePVD CARES WELLNESS CENTER LLC
Location Address126 PROSPECT ST STE 105Pawtucket, RI 02860-4429
Mailing Address126 Prospect StPawtucket, RI 02860-4476 · (401) 753-2526 · Fax (401) 235-4152
Fax(401) 235-4152
Organization SubpartNo
Authorized OfficialEffien KingNurse Practitioner · (323) 770-6210
Enumeration DateDecember 5, 2019
Last NPPES UpdateJune 29, 20214 updates tracked since enumeration
NPPES CertifiedJune 28, 2021
NPI 1063059244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
126 PROSPECT ST STE 105, Pawtucket, RI 02860

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Family)
126 PROSPECT ST STE 105
PAWTUCKET, RI 02860
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Family)
126 PROSPECT ST STE 105
PAWTUCKET, RI 02860
Nurse Practitioner (Gerontology)
126 PROSPECT ST STE 105
PAWTUCKET, RI 02860
Nurse Practitioner (Psychiatric/Mental Health)
126 PROSPECT ST STE 105
PAWTUCKET, RI 02860

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 Pvd Cares Wellness Center LLC's NPI number?

The NPI number for Pvd Cares Wellness Center LLC is 1063059244. It was assigned to this organization in the NPPES registry on December 5, 2019.

Where is Pvd Cares Wellness Center LLC located?

Pvd Cares Wellness Center LLC is located at 126 Prospect St Ste 105, Pawtucket, RI 02860. The listed phone number is (401) 753-2526.

What is Pvd Cares Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Pvd Cares Wellness Center LLC was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.