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

Kenneth Ralph Vieira, CNP

Individual provider Nurse Practitioner · NPI 1609643063

Kenneth Ralph Vieira, CNP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2023, 3 years ago. Practices with The Miriam Hospital, a 185-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
3
Licensed in
MA, RI
In the registry since
2023
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

180 Corliss St Ste C
Providence, RI 02904-2602
Phone: (401) 793-4636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 60 Winslow St, Riverside, RI 02915-1726 — (401) 533-6258

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN03921 (RI)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2321336 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN2321336 (MA)

Record details

NPI number1609643063
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 6, 2023
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 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 The Miriam Hospital — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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