Individual provider Active NPI

Katrina Adora Despinos, CNM, APRN

  • Advanced Practice Midwife
  • Providence, RI
National Provider Identifier
1053935312
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM00188 Issued in RI
Practice address
148 W River St
Providence, RI 02904-2615
Phone
(401) 606-3027
Fax
(401) 455-3547
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM00188 RI Primary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X
Advanced Practice Midwife 367A00000X 36467 TN

Addresses

Primary practice location

148 W River St
Providence, RI 02904-2615

Mailing address

166 Oak Valley Dr
Nashville, TN 37207-2917
Phone (772) 607-1085

Other practice location 1

101 Dudley St
Providence, RI 02905-2401
Phone (401) 274-1100

Other practice location 2

300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801
Phone (629) 206-6858 ext. 13381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200824001779 RI Practitioner - Certified Nurse Midwife (CNM) 0547687451 Reassigns benefits to 1 organization
I20260424000000 TN Practitioner - Certified Nurse Midwife (CNM) 0547687451 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Vanderbilt University School of Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

137 Thistleton Way
St Augustine, FL 32092-3281

200 Corporate Blvd
Lafayette, LA 70508-3844

300 20TH Ave N
Suite 403
Nashville, TN 37203-5180

300 Stonecrest Blvd
Suite 310
Smyrna, TN 37167-5684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
36467TNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Multi-Specialty CurrentSince Aug 3, 2020 Accepting new patients
Lifespan Physician Group, Inc. Multi-Specialty CurrentSince Aug 3, 2020 Accepting new patients
Diana Health TN, PC Multi-Specialty Past Accepting new patients

Locations

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

148 W River St
Ste 8
Providence, RI 02904
Phone (401) 606-3000

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

Interoperability endpoints

  • Direct secure messaging: katrina.despinos.1@23211.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1053935312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 OAK VALLEY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072917",
            "telephone_number": "772-607-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W RIVER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042615",
            "telephone_number": "401-606-3027",
            "fax_number": "401-455-3547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-274-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Stonecrest Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676801",
            "country_code": "US",
            "telephone_number": "629-206-6858 x13381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESPINOS",
        "first_name": "KATRINA",
        "middle_name": "ADORA",
        "credential": "CNM, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "RI",
            "license": "CNM00188",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "36467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.