Healthcare Provider Details

I. General information

NPI: 1487747341
Provider Name (Legal Business Name): LINDA CARTER RN MSN CS IAAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SOUTH ANGELL ST
PROVIDENCE RI
02906
US

IV. Provider business mailing address

55 SOUTH ANGELL ST
PROVIDENCE RI
02906
US

V. Phone/Fax

Practice location:
  • Phone: 401-751-5020
  • Fax: 401-383-3503
Mailing address:
  • Phone: 401-751-5020
  • Fax: 401-383-3503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number134062
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License NumberPNS00036
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number134062
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberPNS00036
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: