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EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1790548949
General Practice in Providence, RI

Active since January 31, 2024
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evernorth Care Providers - Delaware Pa NPPES

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

EVERNORTH CARE PROVIDERS - DELAWARE PA (NPI 1790548949) is a healthcare organization registered as a general practice in Providence, Rhode Island and active in the NPI registry since January 2024. The organization lists Grace Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1790548949
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - DELAWARE PA
Location Address10 DORRANCE ST STE 700Providence, RI 02903-2014
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Phone(773) 292-4800
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialGrace BlueCredentialing Sr. Manager · (773) 292-4800
Enumeration DateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1790548949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
10 DORRANCE ST STE 700, Providence, RI 02903
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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 20

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

NNEMEKA A OKPALA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (617) 419-0482
XAVIER RAE THOMAS
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (877) 418-2978
YASMEEN ROSE AL RAJABI
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (877) 418-2978
QUADRANT RI VIRTUAL CARE P.C.
Pediatrics
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (866) 219-8595
DARIANNYS SANTOS-RIVAS
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (877) 418-2978
SONDRA ELISE NATALE
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (877) 418-2978
LOTS OF LOVE AFC LLC
Custodial Care Facility (Adult Care Home)
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (401) 244-7448
LAKEYDA DENISE BROWN
Behavior Technician
10 DORRANCE ST STE 700
PROVIDENCE, RI 02903
Providence County (252) 529-8302

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 Evernorth Care Providers - Delaware PA's NPI number?

The NPI number for Evernorth Care Providers - Delaware PA is 1790548949. It was assigned to this organization in the NPPES registry on January 31, 2024.

Where is Evernorth Care Providers - Delaware PA located?

Evernorth Care Providers - Delaware PA is located at 10 Dorrance St Ste 700, Providence, RI 02903. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Delaware PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers - Delaware PA was last updated on January 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.