Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Phyllis D Kelliher, APRN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1598101925

Mrs. Phyllis D Kelliher, APRN, FNP-BC is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2012, 14 years ago. Practices with Prospect Chartercare Rwmc, LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
14
Licensed in
RI
In the registry since
2013
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4735
Phone: (401) 474-4288
Fax: (401) 434-5230
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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 APRN00058 (RI)

Record details

NPI number1598101925
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-BC
Sole proprietorNo
NPI enumeratedMay 13, 2013
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Prospect Chartercare Rwmc, Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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