Individual provider Active NPI

Katrina Donna Sivo-Souza, DNP

  • Family Nurse Practitioner
  • Norwich, CT
National Provider Identifier
1124557756
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN01605 Issued in RI
Practice address
330 Washington St
Norwich, CT 06360-2700
Phone
(860) 885-1308
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2262644 MA
Family Nurse Practitioner 363LF0000X 8842 CT
Family Nurse Practitioner 363LF0000X APRN01605 RI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8842 CT

Addresses

Primary practice location

330 Washington St
Norwich, CT 06360-2700

Mailing address

40 Mansfield Ave
Willimantic, CT 06226-2018

Other practice location 1

303 N Main St
Attleboro, MA 02703-1752
Phone (508) 236-0100

Other practice location 2

101 Dudley St
Providence, RI 02905-2401
Phone (401) 273-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT, MA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170914000680 RI Practitioner - Nurse Practitioner 8628342623 Reassigns benefits to 5 organizations
I20210617001145 CT Practitioner - Nurse Practitioner 8628342623
I20260605000276 MA Practitioner - Nurse Practitioner 8628342623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

104 Gold Mine Rd
Chepachet, RI 02814-1755

211 Park St
Attleboro, MA 02703-3137

211 Park St
Attleboro, MA 02703-3143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RN2262644MAMDFamily Nurse Practitioner
APRN01605RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC CurrentSince Oct 26, 2020 Accepting new patients
Thundermist Health Center CurrentSince Aug 14, 2017 Accepting new patients
Newport Hospital CurrentSince May 15, 2024 Accepting new patients
Thundermist Health Center CurrentSince Aug 14, 2017 Accepting new patients
Thundermist Health Center Current Accepting new patients
Affinity Physicians LLC. CurrentSince Oct 2, 2023 Accepting new patients
Newport Hospital Family CurrentSince May 15, 2024 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Oct 26, 2020 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Jan 1, 2022 Accepting new patients
Affinity Physicians LLC CurrentSince Oct 2, 2023 Accepting new patients
D Regan LLC PastSince Apr 30, 2023 Accepting new patients
Prime Healthcare Services Landmark LLC Past Accepting new patients

Locations

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

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

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

300 Toll Gate Rd
Ste LL5
Warwick, RI 02886
Phone (401) 431-9024

25 John a Cummings Way
Ste 302
Woonsocket, RI 02895

255 Cass Ave
Woonsocket, RI 02895
Phone (401) 762-5599

115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

450 Clinton St
Woonsocket, RI 02895

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1124557756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602700",
            "telephone_number": "860-885-1308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Main St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027031752",
            "country_code": "US",
            "telephone_number": "508-236-0100",
            "fax_number": "508-342-9121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052401",
            "country_code": "US",
            "telephone_number": "401-273-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVO-SOUZA",
        "first_name": "KATRINA",
        "middle_name": "DONNA",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2262644",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8842",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01605",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "8842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.