Individual provider Active NPI

Katherine Pierce, RN, FNP-C

  • Nurse Practitioner
  • Johnston, RI
National Provider Identifier
1235470394
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN03561 Issued in RI
Practice address
11 Commerce Way Ste 5
Johnston, RI 02919-4613
Phone
(401) 606-2610
NPI assigned
Mar 13, 2013
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN03561 RI Primary
Registered Nurse 163W00000X RN51721 RI

Addresses

Primary practice location

11 Commerce Way Ste 5
Johnston, RI 02919-4613

Mailing address

654 Orleans CT
Warwick, RI 02886-1712
Phone (401) 575-7324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231208003382 RI Practitioner - Nurse Practitioner 1254780760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carewell Urgent Care of Rhode Island PCGroup PAC ID 5799937470, 9 clinicians

Practice addresses (Care Compare)

535 Centerville Rd
Suite 102
Warwick, RI 02886-4376
Phone (401) 773-7220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN51721RIMDRegistered Nurse
APRN03561RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Lifespan Physician Group, Inc. Nurse Practitioner CurrentSince Dec 6, 2023 Accepting new patients
Lifespan Corporation Current Accepting new patients
Lifespan Physician Group, Inc. Past Accepting new patients

Locations

11 Commerce Way
Ste 5
Johnston, RI 02919
Phone (401) 606-2610

1360 W Main Rd
Middletown, RI 02842
Phone (401) 606-3110

17 Airport Rd
Warwick, RI 02889
Phone (401) 606-2520

Interoperability endpoints

  • Direct secure messaging: katherine.pierce@49412312072196.direct.elationemr.com
  • Direct secure messaging: kpierce171900@brownhealth.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1235470394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 ORLEANS CT",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861712",
            "telephone_number": "401-575-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COMMERCE WAY STE 5",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194613",
            "telephone_number": "401-606-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "KATHERINE",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN03561",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN51721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.