Active NPI
Katharine D Wenstrom, MD
- Maternal & Fetal Medicine Physician
- Providence, RI
National Provider Identifier
1013930486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MD13064
- Practice address
- 101 Dudley Street, 3Rd Floor
Women & Infants Hospital of Rhode Island/MFM Division
Providence, RI 02905 - Phone
- (401) 274-1122
- Fax
- (401) 453-7622
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 16316 | AL | |
| Maternal & Fetal Medicine Physician | 207VM0101X | MD0000041656 | TN | |
| Maternal & Fetal Medicine Physician | 207VM0101X | MD13064 | RI | Primary |
Addresses
Primary practice location
101 Dudley Street, 3Rd Floor
Women & Infants Hospital of Rhode Island/MFM Division
Providence, RI 02905
Mailing address
101 Dudley St FL 3
Women & Infants Hospital of Rhode Island/MFM Division
Providence, RI 02905-2401
Phone (401) 274-1122
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009951545 | Medicaid | AL | |
| 051518084 | Other | AL | BLUE CROSS |
| 051524560 | Other | AL | BLUE CROSS |
| 009934822 | Medicaid | AL | |
| 009951535 | Medicaid | AL | |
| 009970035 | Medicaid | AL | |
| 051521051 | Other | AL | BLUE CROSS |
| 000093717 | Other | AL | BLUE CROSS |
| 009951565 | Medicaid | AL | |
| 009951595 | Medicaid | AL | |
| 009951575 | Medicaid | AL | |
| 009951585 | Medicaid | AL | |
| 051526560 | Other | AL | BLUE CROSS |
| 009971425 | Medicaid | AL | |
| 000084540 | Other | AL | BLUE CROSS |
| 000084540 | Medicaid | AL | |
| 009936035 | Medicaid | AL | |
| 051524558 | Other | AL | BLUE CROSS |
| 009951555 | Medicaid | AL | |
| 009971115 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16316 | AL | MD | Maternal & Fetal Medicine Physician |
| MD13064 | RI | MD | Maternal & Fetal Medicine Physician |
| MD0000041656 | TN | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women & Infants Hospital of Rhode Island | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1013930486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 DUDLEY ST FL 3",
"address_2": "WOMEN & INFANTS HOSPITAL OF RHODE ISLAND/MFM DIVISION",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029052401",
"telephone_number": "401-274-1122",
"fax_number": "401-453-7622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DUDLEY STREET, 3RD FLOOR",
"address_2": "WOMEN & INFANTS HOSPITAL OF RHODE ISLAND/MFM DIVISION",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02905",
"telephone_number": "401-274-1122",
"fax_number": "401-453-7622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENSTROM",
"first_name": "KATHARINE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "AL",
"license": "16316",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "TN",
"license": "MD0000041656",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "RI",
"license": "MD13064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009951545",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051518084",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051524560",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009934822",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009951535",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009970035",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051521051",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000093717",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009951565",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009951595",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009951575",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009951585",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051526560",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009971425",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000084540",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000084540",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009936035",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051524558",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009951555",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009971115",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.