Active NPI
Katherine Roseline Rice-Latham, RN
- Family Nurse Practitioner
- Dorchester Center, MA
National Provider Identifier
1407629686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2264424
- Practice address
- 64 Willowwood St
Dorchester Center, MA 02124-4030 - Phone
- (267) 577-2542
- NPI assigned
- Oct 31, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2264424 | MA | Primary |
Addresses
Primary practice location
64 Willowwood St
Dorchester Center, MA 02124-4030
Mailing address
64 Willowwood St
Dorchester Center, MA 02124-4030
Phone (267) 577-2542
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2264424 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1407629686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 WILLOWWOOD ST",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021244030",
"telephone_number": "267-577-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 WILLOWWOOD ST",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021244030",
"telephone_number": "267-577-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE-LATHAM",
"first_name": "KATHERINE",
"middle_name": "ROSELINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2264424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.