Active NPI
Katrina Adora Despinos, CNM, APRN
- Advanced Practice Midwife
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM00188
- 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
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM00188 | RI | Primary |
| Midwife | 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 36467 | TN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Multi-Specialty | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Multi-Specialty | Current | 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
- 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.
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
Multi-Specialty, RI
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.