MRS. KATHRYN OBERACKER (NPI# 1881045789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881045789 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN OBERACKER |
| Credential | NP |
| Practice Address |
355 Prairie Ave Providence RI 02905-1928 |
| Mailing Address |
375 Allens Ave Providence RI 02905-5010 |
| Practice Telephone | 4014440570 |
| Practice Fax Number | 4014440427 |
| Mailing Telephone | 4014440400 |
| Mailing Fax Number | 4014440468 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN01413 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN55170 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1090 Cranston St, Cranston, RI 029207323 | 4019431981 |
| Street Address |
355 PRAIRIE AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959867 | The Providence Community Health Centers, Inc | Clinic/Center | 355 Prairie Ave, Providence, RI 02905-5010 | 2005-08-15 |
| 1710521208 | Wesley W. Butt | Family Medicine | 355 Prairie Ave, Providence, RI 02905-1928 | 2019-10-29 |
| 1891342226 | Sahony Natasha Ramos | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2019-08-21 |
| 1386115095 | Ingrid Ayala | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2018-12-07 |
| 1023595055 | Luis David Rodriguez | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2018-07-23 |
| 1982122198 | Nadia Marisa Tourinho | Social Worker | 355 Prairie Ave, Providence, RI 02915 | 2017-09-07 |
| 1679095947 | Jaai M. Deshpande | Family Medicine | 355 Prairie Ave, Providence, RI 02905-1928 | 2017-07-08 |
| 1720521909 | Gioconda Vazquez | Registered Nurse | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-11-21 |
| 1649622184 | Kristin Lee Malone | Registered Nurse | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-07-08 |
| 1043669930 | Gabriela Garza | Counselor | 355 Prairie Ave, Providence, RI 02905-1928 | 2016-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933984 | Sarah Jane France | Nurse Practitioner | 1 Randall Sq Ste 409, Providence, RI 02904-7405 | 2020-08-22 |
| 1225664386 | Monica A Harris | Nurse Practitioner | 1078 S 800 E, Providence, UT 84332-2400 | 2020-03-20 |
| 1669008728 | Sean Andrew Rebello | Nurse Practitioner | 180 Corliss St Ste E, Providence, RI 02904-2602 | 2020-03-19 |
| 1902456270 | Nelsy Robles Colon | Nurse Practitioner | 1 Randall Sq Ste 205, Providence, RI 02904-2773 | 2019-09-18 |
| 1518511021 | Effiem Obasi | Nurse Practitioner | 143 Longwood Ave, Providence, RI 02908-1121 | 2019-08-01 |
| 1861056608 | Temperance Taylor | Nurse Practitioner | 222 Dora St Apt 1, Providence, RI 02909-3824 | 2019-04-26 |
| 1790240141 | Miriannys Rivas | Nurse Practitioner | 170 Rhodes St, Providence, RI 02903-4919 | 2019-02-08 |
| 1962970947 | Wesley Irish | Nurse Practitioner | 21 Pekin St, Providence, RI 02908-3716 | 2018-11-07 |
| 1902317449 | Ashley Lynn Wright | Nurse Practitioner | 120 Dudley St Ste 104, Providence, RI 02905-2431 | 2017-10-23 |
| 1699216226 | Julie L'europa | Nurse Practitioner | 1085 North Main Street, Providence, RI 02904-7426 | 2017-03-15 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on MRS. KATHRYN OBERACKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.