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

Charlotte Crider

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063152916

Charlotte Crider is a Family Practice in Pawtucket, Rhode Island. Graduated from Virginia Commonwealth University, School of Medicine in 2022, 4 years ago. Works from 2 locations. Licensed in Rhode Island.

Years since qualifying
4
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
RI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

42 Park Pl
Pawtucket, RI 02860-4010
Phone: (401) 722-0081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Brewster St, Pawtucket, RI 02860-4400 — (401) 737-7000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD20801 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063152916
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address455 Toll Gate Rd, Warwick, RI 02886-2759

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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