Fairlawn Primary Care, Inc
NPI 1508898909ActiveOrganization· Nurse Practitioner, Family· Pawtucket, RI
Nurse Practitioner, Family in Pawtucket, Rhode Island, registered in NPPES in July 2006. The authorized official on file is Holly Fernandes, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508898909 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | NPP37132 | RI |
| Internal Medicine | 207R00000X | 09843 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (RI) |
|---|
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