DR. KATHERINE MARIE WATERS (NPI# 1043281579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043281579 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE MARIE WATERS |
| Credential | M.D. |
| Practice Address |
200 High Service Ave North Providence RI 02904-5113 |
| Mailing Address |
87 Annette Dr Portsmouth RI 02871-3703 |
| Practice Telephone | 4014563155 |
| Practice Fax Number | 4014563156 |
| Mailing Telephone | 4016822248 |
| Mailing Fax Number | 4014563156 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
80241 | MA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
7169 | RI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023527017 | Katherine Waters | Nurse Practitioner | 2301 S Lamar Blvd # 140, Oxford, MS 38655-5373 | 2017-09-22 |
| 1093201378 | Katherine Lorraine Waters | Physical Therapist | 3704 Ruffin Rd, San Diego, CA 92123-1812 | 2018-07-10 |
| 1912305434 | Katherine E Waters | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-12-16 |
| 1457637167 | Katherine Waters | Counselor | 1471 Elmwood Ave, Cranston, RI 02910-3849 | 2011-10-26 |
| Street Address |
200 HIGH SERVICE AVE |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02904-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179607 | James D Sullivan | Emergency Medicine | 200 High Service Ave, North Providence, RI 02904-5113 | 2005-10-24 |
| 1023628385 | Jona Volcy | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-08-03 |
| 1437770625 | Shana Rose Libassi | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-04-29 |
| 1447886171 | Kaylee Joy Taillon | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2020-03-13 |
| 1528619772 | Christine Mary Merloni | Technician/Technologist | 200 High Service Ave, North Providence, RI 02904-5113 | 2019-09-27 |
| 1740748235 | Daniel Michael Leary | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2019-03-04 |
| 1366913873 | Ainsley King Parker | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-12-10 |
| 1093285751 | Jennifer Lynn Deblois | Dietitian, Registered | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-11-26 |
| 1972081966 | Melissa Ann Mcgovern | Physician Assistant | 200 High Service Ave, North Providence, RI 02904-5113 | 2018-08-01 |
| 1285147702 | Jean Yeomans | Social Worker | 200 High Service Ave, North Providence, RI 02904-5113 | 2017-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992840862 | St. Joseph Health Services of Ri | Pathology | 200 High Service Ave, North Providence, RI 02904-5113 | 2007-02-20 |
| 1396833232 | Marius Peter Lee | Pathology | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-10-10 |
| 1104913037 | Cecilia A. Gmuer | Pathology | 200 High Service Ave, North Providence, RI 02904-5113 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780003467 | University Pathologists, LLC | Pathology | 300 Centerville Road, Summit South, Ste 215, Warwick, RI 02806-0252 | 2014-04-10 |
| 1831483148 | James Patrick Nolan | Pathology | 150 Carnegie Harbor Drive, Portsmouth, RI 02871 | 2011-06-03 |
| 1134455223 | James Thomas Kurtis | Pathology | 1151 Aquidneck Ave, Suite 493, Middletown, RI 02842-5275 | 2009-10-23 |
| 1093910606 | Ricky D Grisson II | Pathology | 117 Ellenfield St Ste 101, Providence, RI 02905-4541 | 2007-06-15 |
| 1285850131 | Upendra Shah | Pathology | 1 Oak Hill Dr, Lincoln, RI 02865-1022 | 2007-04-18 |
| 1932296910 | Ariel Goldschmidt | Pathology | 48 Orms St, Providence, RI 02904-2222 | 2006-10-09 |
| 1316059389 | Yao Tek Kaw | Pathology | 1524 Atwood Avenue Quest Diagnostics Cytology Lab, Suite 122, Johnston, RI 02919 | 2006-08-31 |
| 1417567751 | Yigit Baykara | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-08-02 |
| 1477176444 | Shaza Ben Khadra | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-25 |
| 1548883606 | Lance Van Truong | Pathology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
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| 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.