Nurse Practitioner, Pediatrics
TARA SHOULDIS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1386435139 · enumerated 2025-05-13 · record updated 2025-08-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 593 EDDY ST, PROVIDENCE, RI, 02903-4923 (401) 444-4000 Google Maps Apple Maps OpenStreetMap
- Mailing address 110 ELM ST, PROVIDENCE, RI, 02903-4626 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse, Pediatrics 163WP0200X · License 80652 RI
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License APRN04746 RI
In this directory
RI Providence County Providence Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
PROVIDENCE, RI, 029034923
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.