Active NPIIndividual provider

Audrey C Tin, PA-C

Physician Assistant in Lincoln, Rhode Island

NPI Number1861244170
Practice location
132 Old River RD., Suite 108, Lincoln, RI 02865-1397
Fax
814-339-6165
Last updated
October 14, 2025

Audrey Cmk Tin is a Physician Assistant based in Lincoln, RI. Audrey Cmk Tin practices in Lincoln, RI and has the professional credentials of PA-C. The NPI Number for Audrey Cmk Tin is 1861244170 and holds a License No. PA01729 (RI). The current practice location address for Audrey Cmk Tin is 132 Old River RD., Suite 108, Lincoln, RI 02865-1397 and can be reached out via phone at 401-723-9250 and via fax at 814-339-6165.

Provider Profile Details

NPI Number
1861244170
Provider Name
Audrey Cmk Tin
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
132 Old River RD., Suite 108, Lincoln, RI 02865-1397
Phone Number
401-723-9250
Fax Number
814-339-6165
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
April 2, 2024
Last Update Date
October 14, 2025
Certification Date
October 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
132 Old River RD.
Suite 108
Lincoln, RI 02865-1397
Zip
02865-1397
Phone Number
401-723-9250
Fax Number
814-339-6165
Lincoln, RI 02865Get directions →

Provider Business Mailing Address Details

Address
132 Old River RD.
Suite 108
Lincoln, RI 02865-1397
City
Lincoln
State
RI
Zip
02865-1397
Phone Number
401-723-9250
Fax Number
814-339-6165

License Information

License Number (1)
PA01729
License State (1)
RI
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
Taxonomy (2)
Physician Assistant · 363A00000X

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 Audrey C Tin, PA-C?

The NPI number of Audrey C Tin, PA-C is 1861244170. It was assigned on April 2, 2024 and is currently active in the NPPES registry.

What is the specialty of Audrey C Tin, PA-C?

Audrey C Tin, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA01729.

Where does Audrey C Tin, PA-C practice?

The practice location is 132 Old River RD., Suite 108, Lincoln, RI 02865-1397. The office can be reached at 401-723-9250 (phone) or 814-339-6165 (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 1861244170 directly on the NPPES registry website.

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