Active NPIIndividual provider

Kristen E Gricus, PMHNP-BC, IBCLC

Nurse Practitioner, Psych/Mental Health in South Kingstown, Rhode Island

NPI Number1598066615
Practice location
65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569
Fax
—
Last updated
December 23, 2025

Kristen E Gricus is a Nurse Practitioner, Psych/Mental Health based in South Kingstown, RI. Kristen E Gricus practices in South Kingstown, RI and has the professional credentials of PMHNP-BC, IBCLC. The NPI Number for Kristen E Gricus is 1598066615 and holds a License No. APRN04914 (RI). The current practice location address for Kristen E Gricus is 65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569 and can be reached out via phone at 844-754-6564.

Provider Profile Details

NPI Number
1598066615
Provider Name
Kristen E Gricus
Credential
PMHNP-BC, IBCLC
Provider Entity Type
Individual
Gender
Female
Address
65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569
Phone Number
844-754-6564
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
November 5, 2010
Last Update Date
December 23, 2025
Certification Date
December 23, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Village Square Dr Ste 302
South Kingstown, RI 02879-2569
Zip
02879-2569
Phone Number
844-754-6564
South Kingstown, RI 02879Get directions →

Provider Business Mailing Address Details

Address
65 Village Square Dr Ste 302
South Kingstown, RI 02879-2569
City
South Kingstown
State
RI
Zip
02879-2569

License Information

License Number
APRN04914
License State
RI
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Kristen E Gricus, PMHNP-BC, IBCLC?

The NPI number of Kristen E Gricus, PMHNP-BC, IBCLC is 1598066615. It was assigned on November 5, 2010 and is currently active in the NPPES registry.

What is the specialty of Kristen E Gricus, PMHNP-BC, IBCLC?

Kristen E Gricus, PMHNP-BC, IBCLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in RI under license number APRN04914.

Where does Kristen E Gricus, PMHNP-BC, IBCLC practice?

The practice location is 65 Village Square Dr Ste 302, South Kingstown, RI 02879-2569. The office can be reached at 844-754-6564 (phone).

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 1598066615 directly on the NPPES registry website.

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