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FAIRLAWN PRIMARY CARE, INC
NPI 1508898909
Nurse Practitioner - Family in Pawtucket, RI

Active since July 07, 2006
886 MINERAL SPRING AVE, PAWTUCKET, RI 02860(401) 475-3063 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Fairlawn Primary Care, Inc NPPES

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

FAIRLAWN PRIMARY CARE, INC (NPI 1508898909) is a healthcare organization registered as a family in Pawtucket, Rhode Island and active in the NPI registry since July 2006. The organization lists Holly Fernandes, President, as its authorized official.

NPPES Registry Identity

NPI1508898909
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAIRLAWN PRIMARY CARE, INC
Location Address886 MINERAL SPRING AVEPawtucket, RI 02860-3322
Mailing Address886 Mineral Spring AvePawtucket, RI 02860-3322
Phone(401) 475-3063
Organization SubpartNo
Authorized OfficialHolly FernandesPresident · (401) 475-3063
Enumeration DateJuly 7, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1508898909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in RI · NPP37132
Also ListedInternal MedicineTaxonomy 207R00000X · License 09843 (RI)
886 MINERAL SPRING AVE, Pawtucket, RI 02860
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Other Identifiers 2

Medicaid9003461RI
Medicaid7006714RI

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 2

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

DR. FADI MANSOURATI MD
Internal Medicine
886 MINERAL SPRING AVE
PAWTUCKET, RI 02860
Providence County (401) 475-3063
MS. HOLLY FERNANDES RNP
Nurse Practitioner (Family)
886 MINERAL SPRING AVE
PAWTUCKET, RI 02860
Providence County (401) 475-3063

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 Fairlawn Primary Care, Inc's NPI number?

The NPI number for Fairlawn Primary Care, Inc is 1508898909. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Fairlawn Primary Care, Inc located?

Fairlawn Primary Care, Inc is located at 886 Mineral Spring Ave, Pawtucket, RI 02860. The listed phone number is (401) 475-3063.

What is Fairlawn Primary Care, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Fairlawn Primary Care, Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.