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
- Last updated
- Apr 17, 2012
- 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"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.