Active NPIIndividual providerSole proprietor

Lyndsay Dematteo, MSN, APRN, AGPCNP-C

Nurse Practitioner, Gerontology in Providence, Rhode Island

NPI Number1346869583
Practice location
345 Blackstone Blvd, 1ST Floor Weld Bldg, Providence, RI 02906-4800
Fax
401-455-6405
Last updated
April 22, 2026

Lyndsay Dematteo is a Nurse Practitioner, Gerontology based in Providence, RI. Lyndsay Dematteo practices in Providence, RI and has the professional credentials of MSN, APRN, AGPCNP-C. The NPI Number for Lyndsay Dematteo is 1346869583 and holds a License No. APRN02654 (RI). The current practice location address for Lyndsay Dematteo is 345 Blackstone Blvd, 1ST Floor Weld Bldg, Providence, RI 02906-4800 and can be reached out via phone at 401-455-6402 and via fax at 401-455-6405.

Provider Profile Details

NPI Number
1346869583
Provider Name
Lyndsay Dematteo
Credential
MSN, APRN, AGPCNP-C
Provider Entity Type
Individual
Gender
Female
Address
345 Blackstone Blvd, 1ST Floor Weld Bldg, Providence, RI 02906-4800
Phone Number
401-455-6402
Fax Number
401-455-6405
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
April 8, 2020
Last Update Date
April 22, 2026
Certification Date
April 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
345 Blackstone Blvd
1ST Floor Weld Bldg
Providence, RI 02906-4800
Zip
02906-4800
Phone Number
401-455-6402
Fax Number
401-455-6405
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
455 Toll Gate RD
Prc And Credentiailng
Warwick, RI 02886-2759
City
Warwick
State
RI
Zip
02886-2759
Phone Number
401-273-0641
Fax Number
401-273-2919

License Information

License Number
APRN02654
License State
RI
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lyndsay Dematteo, MSN, APRN, AGPCNP-C?

The NPI number of Lyndsay Dematteo, MSN, APRN, AGPCNP-C is 1346869583. It was assigned on April 8, 2020 and is currently active in the NPPES registry.

What is the specialty of Lyndsay Dematteo, MSN, APRN, AGPCNP-C?

Lyndsay Dematteo, MSN, APRN, AGPCNP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in RI under license number APRN02654.

Where does Lyndsay Dematteo, MSN, APRN, AGPCNP-C practice?

The practice location is 345 Blackstone Blvd, 1ST Floor Weld Bldg, Providence, RI 02906-4800. The office can be reached at 401-455-6402 (phone) or 401-455-6405 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346869583 directly on the NPPES registry website.

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