Individual provider Active NPI

Kathleen Doyle

  • Psychiatric/Mental Health Nurse Practitioner
  • North Kingstown, RI
National Provider Identifier
1346447349
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN00410 Issued in RI
Practice address
1130 Ten Rod Rd Ste E305
North Kingstown, RI 02852-4176
Phone
(400) 129-4045
NPI assigned
Jul 2, 2007
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN00410 RI Primary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X PPNS00039 RI

Addresses

Primary practice location

1130 Ten Rod Rd Ste E305
North Kingstown, RI 02852-4176

Mailing address

120 Birchwood Dr
Wakefield, RI 02879-8117

Other practice location 1

1255 Oaklawn Ave
Cranston, RI 02920-2649
Phone (401) 228-7914

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
I20050610000795 RI Practitioner - Certified Clinical Nurse Specialist (CNS) 0345284303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
PPNS00039RIMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
APRN00410RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Center 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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1346447349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BIRCHWOOD DR",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028798117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE E305",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524176",
            "telephone_number": "400-129-4045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Oaklawn Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029202649",
            "country_code": "US",
            "telephone_number": "401-228-7914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN00410",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "RI",
            "license": "PPNS00039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.