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

Mary Reedy

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023647534

Mary Reedy is a Physician Assistant in Providence, Rhode Island. Qualified in 2020, 6 years ago. Practices with Rhode Island Hospital, a 428-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

17 University Ave
Providence, RI 02906-4121
Phone: (775) 250-6885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA01295 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023647534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2020
Last updated in NPPESFebruary 10, 2021
Certification dateFebruary 10, 2021
Mailing address17 University Ave, Providence, RI 02906-4121

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rhode Island Hospital — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence