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

Emanuela Donata Antonellis

Individual provider Family Nurse Practitioner · NPI 1316725427

Emanuela Donata Antonellis is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2023, 3 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Rhode Island.

Years since qualifying
3
Licensed in
MN, RI
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

593 Eddy Street Apc 6
Providence, RI 02903
Phone: (401) 793-9166
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2270 Ford Pkwy Ste 200, Saint Paul, MN 55116-3412 — (855) 324-7843

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN04113 (RI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10794 (MN)

Record details

NPI number1316725427
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2023
Last updated in NPPESAugust 14, 2024
Certification dateAugust 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence