KATELYN R AGNEW (NPI# 1972122364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972122364 |
| Entity Type | Individual |
| Full Name | KATELYN R AGNEW |
| Credential | PMHNP-BC |
| Practice Address |
530 N Main St Providence RI 02904-5762 |
| Practice Telephone | 4015280123 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN02327 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
530 N MAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-5762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379410 | Michael Alan Silver | Psychiatry & Neurology | 530 N Main St, Providence, RI 02904-5762 | 2005-07-14 |
| 1447859954 | Melissa Ann Casto | Registered Nurse | 530 N Main St, Providence, RI 02904-5762 | 2020-10-26 |
| 1972119972 | Jessica L Tulli | Registered Nurse | 530 N Main St, Providence, RI 02904-5762 | 2020-09-16 |
| 1033724554 | Jessie Brooks | Registered Nurse | 530 N Main St, Providence, RI 02904-5762 | 2020-09-11 |
| 1790396935 | Mellissa Rose Lacroix Dwyer | Social Worker | 530 N Main St, Providence, RI 02904-5762 | 2020-08-12 |
| 1184242406 | Alyssa Rose Carroll | Counselor | 530 N Main St, Providence, RI 02904-5762 | 2020-07-13 |
| 1114555489 | Michelle Marie O'rourke | Counselor | 530 N Main St, Providence, RI 02904-5762 | 2020-03-31 |
| 1639705916 | Alice Eyo | Registered Nurse | 530 N Main St, Providence, RI 02904-5762 | 2020-03-18 |
| 1154954964 | Pamela Robinson | Counselor | 530 N Main St, Providence, RI 02904-5762 | 2020-02-20 |
| 1003448879 | Ashley L Addison | Counselor | 530 N Main St, Providence, RI 02904-5762 | 2020-02-10 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427457142 | Deborah Horvitz | Nurse Practitioner | 60 Blackstone Blvd, Providence, RI 02906-5401 | 2014-08-19 |
| 1952947772 | New View Health and Wellness LLC | Nurse Practitioner | 208 Governor St, Providence, RI 02906-3239 | 2019-11-27 |
| 1831733922 | Latoya Lange-smith | Nurse Practitioner | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2019-10-31 |
| 1649725946 | Nicole Watkins Brynes | Nurse Practitioner | 593 Eddy St, Providence, RI 02903-4923 | 2016-08-17 |
| 1205239860 | Jennifer J Collins | Nurse Practitioner | 215 E Main St, Providence, KY 42450-1261 | 2014-09-26 |
| 1205994076 | Lynn Beth Janaway | Nurse Practitioner | 345 Blackstone Blvd, Weld Bldg, Providence, RI 02906-4800 | 2006-12-05 |
| 1881772929 | Adele Palazzo | Nurse Practitioner | 345 Blackstone Blvd, Weld Bldg, Providence, RI 02906-4800 | 2006-11-02 |
| 1053499178 | Edward Lyons | Nurse Practitioner | 345 Blackstone Blvd, Weld Bldg, Providence, RI 02906-4800 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540042 | North Road Psychiatry LLC | Nurse Practitioner | 23 North Rd Ste A11, Peace Dale, RI 02879-8108 | 2020-08-31 |
| 1750992319 | Katherine Elizabeth Loffredo | Nurse Practitioner | 74 Seymour St, Warren, RI 02885-4227 | 2020-08-16 |
| 1174149686 | Goldline Health and Wellness LLC | Nurse Practitioner | 750 East Ave Lowr Level, Pawtucket, RI 02860-6245 | 2020-06-20 |
| 1215562566 | Katie Elizabeth Thayer | Nurse Practitioner | 300 Centerville Rd Ste 101, Warwick, RI 02886-0200 | 2020-03-06 |
| 1477197820 | Jaron Keough | Nurse Practitioner | 232 Pawtucket Ave Apt 1, Pawtucket, RI 02860-5169 | 2019-10-29 |
| 1538622394 | Partners In Psychiatry LLC | Nurse Practitioner | 1525 Old Louisquisset Pike Ste B203, Lincoln, RI 02865-4522 | 2019-04-09 |
| 1356819908 | Kellie Ferrie | Nurse Practitioner | 250 Wampanoag Trl Ste 302, Riverside, RI 02915-2217 | 2018-11-12 |
| 1306326202 | Samuel David Kaufman | Nurse Practitioner | 34 Rice Ave, E Providence, RI 02914-3147 | 2018-08-20 |
| 1205350980 | Tabitha Ann Imondi | Nurse Practitioner | 1525 Old Louisquisset Pike Ste 203, Lincoln, RI 02865-4503 | 2017-08-03 |
| 1366983314 | Alyssa Pullan | Nurse Practitioner | 78 Courtney Ave, Pawtucket, RI 02861-3935 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
| City | 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.