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

Joanne Custodio, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1447716527

Joanne Custodio, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Providence, Rhode Island. Qualified in 2019, 7 years ago. Practices with Narragansett Bay Anesthesia LLC, a 95-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
7
Licensed in
MA, RI
In the registry since
2019
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN02006 (RI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN2305195 (MA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN50949 (RI)

Record details

NPI number1447716527
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 14, 2019
Last updated in NPPESFebruary 22, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Narragansett Bay Anesthesia Llc — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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