Healthcare Provider Details

I. General information

NPI: 1225794548
Provider Name (Legal Business Name): NICOLE SCHACHMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 PINE ST
PROVIDENCE RI
02907-1358
US

IV. Provider business mailing address

460 PINE ST
PROVIDENCE RI
02907-1358
US

V. Phone/Fax

Practice location:
  • Phone: 401-272-0220
  • Fax:
Mailing address:
  • Phone: 401-272-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberAPRN03510
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN02855
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN03510
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: