OrganizationActive
Fairlawn Primary Care, Inc
NPI 1508898909 · Family Nurse Practitioner · Pawtucket, RI
Provider details
- NPI number
- 1508898909
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Holly Fernandes, President(401) 475-3063
- License
- 09843 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
886 Mineral Spring Ave
Pawtucket, RI 02860-3322
Phone: (401) 475-3063
Street-level locationGet directions
Mailing address
886 Mineral Spring Ave
Pawtucket, RI 02860-3322
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.