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Deactivated NPI 1508396813 Deactivated / Inactive NPI Female Practitioner

Lizbeta Palmer Chisolm

Registered Nurse • Providence, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lizbeta Chisolm has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 19, 2017
NPI Deactivation Date June 19, 2025
Total Practice Duration ~8 Years of Practice (2017 – 2025)

Professional Overview & Biography Verified Profile Summary

Lizbeta Chisolm was a registered Registered Nurse practicing in Providence, RI. Throughout an active medical career spanning 8 years, Lizbeta Chisolm provided care at the practice location at 100 MEDWAY ST until profile deactivation on 2025-06-19.

Practice Location & Contact Primary Location

Practice Address

100 Medway St

Providence, RI 029064402

Telephone 4014214100
Associated Practice Facility / Clinic
🏢 Day One Facility NPI 1164633038

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
325 Specialists

Practicing in Providence, RI (849 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

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License RI RN51488

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Bianca Estrada , LCSW

Social Worker - Clinical

NPI 1043978661

Licensed Clinical Social Worker

Shanice Lum You

Social Worker - Clinical

NPI 1164114674
Jonathan Smith , MSW

Social Worker - Clinical

NPI 1295874683

Master of Social Work

Luz Ospina , LICSW

Social Worker - Clinical

NPI 1376662601

Licensed Independent Clinical Social Worker

NPI 1386225886

Licensed Clinical Social Worker

Elizabeth Wood , LCSW

Social Worker - Clinical

NPI 1417445594

Licensed Clinical Social Worker

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 19, 2025

Record deactivated on June 19, 2025

NPI Profile Active June 19, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 19, 2017

Registered at 100 MEDWAY ST, PROVIDENCE, RI 029064402 (Tel: 4014214100)

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Updated Business Mailing Address June 19, 2017

Registered at 100 MEDWAY ST, PROVIDENCE, RI 029064402 (Tel: 4014214100)

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Provider Name / Credentials Updated June 19, 2017

Recorded as LIZBETA CHISOLM

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Registered Nurse (License #RN51488 in RI)

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Initial NPI Registration & Enumeration June 19, 2017

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: 1508396813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2017
Last Update: June 19, 2017
Deactivation Date: June 19, 2025

Mailing Address

100 Medway St

Providence, RI 029064402

Phone: 4014214100

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.