Active NPI
Catharine Jean Guertin, D.C., M-PAS
- Physician Assistant
- North Kingstown, RI
National Provider Identifier
1275699795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00541
- Practice address
- 165 Dillabur Ave
North Kingstown, RI 02852-1009 - Phone
- (413) 592-2828
- NPI assigned
- Dec 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2909 | MA | |
| Physician Assistant | 363A00000X | PA00541 | RI | Primary |
Addresses
Primary practice location
165 Dillabur Ave
North Kingstown, RI 02852-1009
Mailing address
20 Jefferson Ave
Chicopee, MA 01020-1034
Phone (413) 348-8019
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y37111 | Other | MA | BLUE CROSS |
| 7869817 | Other | MA | AETNA |
| 697304 | Other | MA | ACN GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2909 | MA | MD | Occupational Therapy Assistant |
| PA00541 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly a. Delorey, D.C., Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Reading, MA
- NPI 1346312287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1275699795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 JEFFERSON AVE",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201034",
"telephone_number": "413-348-8019",
"fax_number": "413-533-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 DILLABUR AVE",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028521009",
"telephone_number": "413-592-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERTIN",
"first_name": "CATHARINE",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.C., M-PAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MA",
"license": "2909",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA00541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Y37111",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7869817",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "697304",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.