Active NPI 1386435139 Individual Practitioner Female Practitioner

Tara Hannah Shouldis

Nurse Practitioner - Pediatrics • Providence, RI

Professional Overview & Biography Verified Profile Summary

Tara Shouldis is a certified Nurse Practitioner - Pediatrics practicing in Providence, RI. With approximately 1 years of clinical experience since completing medical education in 2025, Tara Shouldis delivers high-quality medical care to the local community at 593 EDDY ST.

Tara Shouldis does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St

Providence, RI 029034923

Telephone 4014444000

Associated Practice Facility / Clinic

🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Providence, RI

Rising Specialist (<5 Yrs)

Practitioner Clinical Experience

1 Yrs -13.0 yrs vs City Avg

City Avg: 14.0 Yrs

State Avg: 14.0 Yrs

Regional Practice Density

43 Specialists

Practicing in Providence, RI (73 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shouldis (1 Years) 1 Yrs

Providence Specialty Average (14.0 Years) 14.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-16

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License RI APRN04746

Definition to come...

Registered Nurse - Pediatrics

NUCC Taxonomy Code: 163WP0200X

State License RI 80652

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Kelsey Heck , PA

Physician Assistant

NPI 1003503459

Physician Assistant

Bret Caulfield

Physician Assistant

NPI 1003512476

Dr. Gregory Lockhart , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003855339

Doctor of Medicine (M.D.)

Dr. Daniel Shanin , MD

Emergency Medicine

NPI 1013322486

Doctor of Medicine (M.D.)

Christopher Cureton , NP

Nurse Practitioner - Family

NPI 1013416353

Nurse Practitioner

Shannon Whittemore , NP

Nurse Practitioner

NPI 1013443878

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address August 12, 2025

Registered at 110 ELM ST, PROVIDENCE, RI 029034626

✅

NPI Profile Active May 13, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location May 13, 2025

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014444000)

📍

Updated Business Mailing Address May 13, 2025

Registered at PO BOX 74, NEW FAIRFIELD, CT 068120074 (Tel: 5166030409)

👤

Provider Name / Credentials Updated May 13, 2025

Recorded as TARA SHOULDIS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2025

Registered Nurse (License #80652 in RI)

🟢

Initial NPI Registration & Enumeration May 13, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386435139

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 13, 2025

Last Update: August 12, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

110 Elm St

Providence, RI 029034626

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.