SIOBHAN BOURGET FNP
NPI 1366140410
Nurse Practitioner - Family in Providence, RI
About Siobhan Bourget Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIOBHAN BOURGET FNP (NPI 1366140410) is an individual family provider in Providence, Rhode Island, licensed in Rhode Island (APRN03798) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Siobhan Bourget Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Siobhan Bourget's NPI number?
The NPI number for Siobhan Bourget is 1366140410. It was assigned to this individual provider in the NPPES registry on February 17, 2023.
Where is Siobhan Bourget located?
Siobhan Bourget practices at 593 Eddy St 4th Floor Medical Icu, Providence, RI 02903. The listed phone number is (401) 444-4000.
What is Siobhan Bourget's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Siobhan Bourget enrolled in Medicare?
Yes. Siobhan Bourget is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Siobhan Bourget was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Siobhan Bourget, FNP · NPI 1366140410
Family physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since February 17, 2023.
## Identity
- **NPI:** 1366140410 (Entity type: Individual)
- **Enumerated:** February 17, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN03798 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, 4TH FLOOR MEDICAL ICU, Providence, RI 02903
- **Phone:** (401) 444-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 18, 2023
- **Other identifiers:** Other 0000000
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Source: [NPI Profile](https://npiprofile.com/npi/1366140410) · Data from the CMS NPPES public registry.