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

Jason Lord

Individual provider Family Nurse Practitioner · NPI 1659052736

Jason Lord is a Nurse Practitioner in Cranston, Rhode Island. Qualified in 2025, 1 year ago. Practices with Diversity Counseling LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1020 Park Ave
Cranston, RI 02910-3227
Phone: (401) 396-7649
Show map & directions

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

Additional practice locations (1)

  • 20335 Patriot Way, West Greenwich, RI 02817-6027 — (646) 270-3548

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN04537 (RI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN03515 (RI)

Record details

NPI number1659052736
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 31, 2023
Last updated in NPPESMay 31, 2026
Certification dateMay 31, 2026
Mailing address20335 Patriot Way, West Greenwich, RI 02817-6027

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Diversity Counseling Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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