Mr. Andrew Kociubuk, APNP
Nurse Practitioner, Psych/Mental Health in North Providence, Rhode Island
1386241867- Practice location
- 200 High Service Ave, North Providence, RI 02904-5113
- Phone
- 401-456-2000
- Fax
- 401-456-2445
- Last updated
- April 29, 2026
Andrew Kociubuk is a Nurse Practitioner, Psych/Mental Health based in North Providence, RI. Andrew Kociubuk practices in North Providence, RI and has the professional credentials of APNP. The NPI Number for Andrew Kociubuk is 1386241867 and holds a License No. 11039-33 (WI). The current practice location address for Andrew Kociubuk is 200 High Service Ave, North Providence, RI 02904-5113 and can be reached out via phone at 401-456-2000 and via fax at 401-456-2445.
Provider Profile Details
- NPI Number
- 1386241867
- Provider Name
- Andrew Kociubuk
- Credential
- APNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 High Service Ave, North Providence, RI 02904-5113
- Phone Number
- 401-456-2000
- Fax Number
- 401-456-2445
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 7, 2020
- Last Update Date
- April 29, 2026
- Certification Date
- April 29, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 High Service Ave
North Providence, RI 02904-5113 - City
- North Providence
- State
- Rhode Island
- Zip
- 02904-5113
- Phone Number
- 401-456-2000
- Fax Number
- 401-456-2445
Provider Business Mailing Address Details
- Address
- 200 High Service Ave
North Providence, RI 02904-5113 - City
- North Providence
- State
- RI
- Zip
- 02904-5113
- Fax Number
- 401-456-2445
License Information
- License Number (1)
- 11039-33
- License State (1)
- WI
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- RN.466178
- License State (2)
- OH
- Taxonomy (2)
- Registered Nurse, Psych/Mental Health · 163WP0808X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Andrew Kociubuk, APNP?
The NPI number of Mr. Andrew Kociubuk, APNP is 1386241867. It was assigned on October 7, 2020 and is currently active in the NPPES registry.
What is the specialty of Mr. Andrew Kociubuk, APNP?
Mr. Andrew Kociubuk, APNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in WI under license number 11039-33.
Where does Mr. Andrew Kociubuk, APNP practice?
The practice location is 200 High Service Ave, North Providence, RI 02904-5113. The office can be reached at 401-456-2000 (phone) or 401-456-2445 (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 1386241867 directly on the NPPES registry website.