Active NPI
Katrina Donna Sivo-Souza, DNP
- Family Nurse Practitioner
- Norwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN01605
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2262644 | MA | MD | Family Nurse Practitioner |
| APRN01605 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Services Landmark LLC | Current | Accepting new patients | |
| Thundermist Health Center | Current | Accepting new patients | |
| Newport Hospital | Current | Accepting new patients | |
| Thundermist Health Center | Current | Accepting new patients | |
| Thundermist Health Center | Current | Accepting new patients | |
| Affinity Physicians LLC. | Current | Accepting new patients | |
| Newport Hospital | Family | Current | Accepting new patients |
| Prime Healthcare Services Landmark LLC | Current | Accepting new patients | |
| Prime Healthcare Services Landmark LLC | Current | Accepting new patients | |
| Affinity Physicians LLC | Current | Accepting new patients | |
| D Regan LLC | Past | 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
- 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.
-
- Orthopaedic Surgery Physician
- Woonsocket, RI
- NPI 1457772543
RI
-
- Hematology & Oncology Physician
- Woonsocket, RI
- NPI 1518388651
RI
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
- Emergency Medicine Physician
- Newport, RI
- NPI 1356441562
-
- General Acute Care Hospital
- Woonsocket, RI
- NPI 1699752923
-
- Federally Qualified Health Center (FQHC)
- Narragansett, RI
- NPI 1265190292
-
- Federally Qualified Health Center (FQHC)
- Woonsocket, RI
- NPI 1588691620
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1396433348
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.