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

Mallory Sousa, APRN

Individual provider Family Nurse Practitioner · NPI 1518795228

Mallory Sousa, APRN is a Nurse Practitioner in Cranston, Rhode Island. Qualified in 2024, 2 years ago. Practices with Minuteclinic Diagnostic of Rhode Island LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
2
Licensed in
RI
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

681 Reservoir Ave
Cranston, RI 02910-3220
Phone: (401) 943-7186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN04134 (RI)

Record details

NPI number1518795228
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJuly 24, 2024
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026
Mailing address681 Reservoir Ave, Cranston, RI 02910-3220

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Minuteclinic Diagnostic Of Rhode Island Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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