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

KINGSTOWN PEDIATRICS INC
NPI 1912030792
Pediatrics in North Kingstown, RI

Q: What is Kingstown Pediatrics Inc's NPI number?

The NPI number for Kingstown Pediatrics Inc is 1912030792. It was assigned to this organization in the NPPES registry on March 13, 2007.

Q: What is Kingstown Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 13, 2007CLIA 41D1036535 · Waiver

420 SCRABBLETOWN RD STE A, NORTH KINGSTOWN, RI 02852(401) 295-7400(401) 295-7825 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kingstown Pediatrics Inc NPPES

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

KINGSTOWN PEDIATRICS INC (NPI 1912030792) is a healthcare organization registered as a pediatrics in North Kingstown, Rhode Island and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Melissa Cotnoir, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912030792

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameKINGSTOWN PEDIATRICS INC

Location Address420 SCRABBLETOWN RD STE ANorth Kingstown, RI 02852-3638

Mailing Address420 Scrabbletown Rd Ste ANorth Kingstown, RI 02852-3638 · (401) 295-7400 · Fax (401) 295-7825

Phone(401) 295-7400

Fax(401) 295-7825

Organization SubpartNo

Authorized OfficialMelissa CotnoirOffice Manager · (401) 295-7400

Enumeration DateMarch 13, 2007

Last NPPES UpdateJuly 13, 2026

NPPES CertifiedJuly 13, 2026

✔ NPI 1912030792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in RI · RI09449

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

420 SCRABBLETOWN RD STE A, North Kingstown, RI 02852

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Other Identifiers 1

Medicaid9004013RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D1036535

Kingstown Pediatrics Inc · North Kingstown, RI

Active · expires Feb 3, 2027

CLIA Number41D1036535

Laboratory TypePhysician Office

Certificate Effective DateFebruary 4, 2025

Certificate Expiration DateFebruary 3, 2027

Laboratory DirectorColleen A. Powers MD

Laboratory Phone(401) 295-7400

Laboratory LocationKingstown Pediatrics Inc426 Scrabbletown Road Suite F, North Kingstown, RI 02852

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

SOUTH COUNTY PSYCHIATRY LLC

Psychiatry & Neurology (Psychiatry)