Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Salve Regina University

Organization Sports Medicine (Family Medicine) Physician · NPI 1881112027

Salve Regina University is a Sports Medicine (Family Medicine) Physician in Newport, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2017.

Licensed in
RI
In the registry since
2017

Practice location Address checks out

100 Ochre Point Ave
Newport, RI 02840-4149
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 15220 (RI)

Record details

NPI number1881112027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Salve Regina Sports Medicine
NPI enumeratedSeptember 8, 2017
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

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