RI REC Membership Account

Joining the RI REC is fast, free, and open to all healthcare providers and their staff. Membership includes a subscription to our e-newsletter as well as access to our free educational programs and activities.

If you have questions about about your membership, please contact us.

* - Denotes a required field.

The RI REC uses your membership information for verification purposes and will never sell it to a third party.

Membership account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Confirm e-mail address: *

Please re-type your e-mail address to confirm it is accurate.

Password: *

Confirm password: *

Provide a password for the new account in both fields.

Physician Information

NPI:

This is a 10 digit number. You can look up your NPI number here: https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do. The content of this field is kept private and will not be shown publicly.

Professional Information

First Name: *

Last Name: *

Provider Type: --MDDOPANPCNMWDDMDDSDMDDPMOther

Other Provider Type:

If "Other" Provider Type is selected, please specify.

Organization Name: *

The content of this field is kept private and will not be shown publicly.

Organization Type: * Private Practice: Internal Medicine/Family PracticePrivate Practice: SpecialistGroup Practice: Internal Medicine/Family PracticeGroup Practice: SpecialistMulti-Specialty Group: Internal Medicine/Family PracticeMulti-Specialty Group: SpecialistOther Healthcare

Other Organization Type:

If "Other" Organization Type is selected, please specify. The content of this field is kept private and will not be shown publicly.

Telephone Number:

Format: 401-555-1212. With extension: 401-555-1212 x1234. The content of this field is kept private and will not be shown publicly.

Organizational Role: * ProviderOffice ManagerPractice AdministratorOther

How did you hear about us?: --ColleagueSearch ResultRIQI Staff MemberReceived Promotional MaterialTufts Health PlanUnited HealthcareBlue Cross Blue Shield of Rhode IslandNeighborhood HealthMedicaid/MedicareOther

The content of this field is kept private and will not be shown publicly.

Other Source:

If you chose "Other" from the list, please enter your selection here. The content of this field is kept private and will not be shown publicly.

Zip Code:

Format: 12345 or 12345-1234. The content of this field is kept private and will not be shown publicly.

Using EHR?: * NoYes

Which EHR?: --AllscriptsAmazing ChartsAthena HealthCerner PowerCharteCLinicalWorkse-MDEpic SystemsGE CentricityGreenwayLighthouse MDMcKesson Provider Tech.MisysNextGenPolaris-EpicChartPractice PartnerSage-Intergy EHRSOAPwareOther

Other EHR:

If "Other" EHR is selected, please specify.

Disclosures:

Please specify any ownership or interest you hold in any related business or association. Please list the name of the business and the nature of the relationship.

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