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

Eniayo Egberongbe

Individual provider Registered Nurse · NPI 1295263515

Eniayo Egberongbe is a Nurse Practitioner in Cranston, Rhode Island. Qualified in 2017, 9 years ago. Practices with Rhode Island Counseling Associates LLC, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts, New York and Rhode Island.

Years since qualifying
9
Licensed in
MA, NY, RI
In the registry since
2017
Specialties on file
5
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Practice location Address checks out

1150 Reservoir Ave Ste 203
Cranston, RI 02920-6043
Phone: (401) 259-0340
Fax: (401) 259-0340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN01722 (RI)
Registered Nurse Taxonomy 163W00000X · Licence RN2330024 (MA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 681574 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN01722 (RI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence RN2330024 (MA)

Record details

NPI number1295263515
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 31, 2017
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address1150 Reservoir Ave Ste 203, Cranston, RI 02920-6043

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Rhode Island Counseling Associates Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Cranston