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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABIGAIL BOULOS PA-C
NPI 1316870546
Physician Assistant in Providence, RI

Active since June 06, 2026
148 W RIVER ST STE 3, PROVIDENCE, RI 02904(401) 421-6306 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 25, 2026, Jun 6, 2026 (2 updates tracked since 2026).

About Abigail Boulos Pa-c NPPES

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

ABIGAIL BOULOS PA-C (NPI 1316870546) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (PA01971) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1316870546
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameABIGAIL BOULOSCredential: PA-C
Location Address148 W RIVER ST STE 3Providence, RI 02904-2615
Mailing AddressPo Box 202230Dallas, TX 75320-2230
Phone(401) 421-6306
Sole ProprietorNo
Enumeration DateJune 6, 2026
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1316870546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in RI · PA01971
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
148 W RIVER ST STE 3, Providence, RI 02904
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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.

JASON FERREIRA MD
Internal Medicine (Gastroenterology)
148 W RIVER ST STE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
MICHAEL JOSEPH MOYLAN JR. APRN
Nurse Practitioner (Family)
148 W RIVER ST STE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
GRACE NAZAREE JABLONSKI APRN
Nurse Practitioner (Family)
148 W RIVER ST STE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306
TAMLIN UNRUH PA-C
Physician Assistant (Medical)
148 W RIVER ST STE 3
PROVIDENCE, RI 02904
Providence County (401) 421-6306

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 Abigail Boulos's NPI number?

The NPI number for Abigail Boulos is 1316870546. It was assigned to this individual provider in the NPPES registry on June 6, 2026.

Where is Abigail Boulos located?

Abigail Boulos practices at 148 W River St Ste 3, Providence, RI 02904. The listed phone number is (401) 421-6306.

What is Abigail Boulos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Abigail Boulos was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.