Individual provider Active NPI

Kathryn Lamendola Perez, APRN-BC

  • Family Nurse Practitioner
  • East Greenwich, RI
National Provider Identifier
1538864814
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN03534 Issued in RI
Practice address
3461 S County TRL
East Greenwich, RI 02818-1465
Phone
(401) 471-6740
NPI assigned
Apr 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN03534 RI Primary

Addresses

Primary practice location

3461 S County TRL
East Greenwich, RI 02818-1465

Mailing address

59 Greenwood Ave
Warwick, RI 02886-3025
Phone (401) 743-3589

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
I20230525002432 RI Practitioner - Nurse Practitioner 1355707811 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

3461 S County TRL
East Greenwich, RI 02818-1465
Phone (401) 471-6740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. Family CurrentSince May 1, 2023 Accepting new patients
Silver Spring Health Care Management, Inc. Family CurrentSince May 1, 2023 Accepting new patients
Silver Spring Health Care Management, Inc. Family Current Accepting new patients

Locations

3461 S County Trl
East Greenwich, RI 02818
Phone (401) 471-6740

120 Centerville Rd
Ste 5
Warwick, RI 02886
Phone (401) 562-1017

268 Post Rd
Ste 103
Westerly, RI 02891
Phone (401) 604-2500

268 Post Rd
Westerly, RI 02891
Phone (401) 562-1017

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1538864814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 GREENWOOD AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863025",
            "telephone_number": "401-743-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181465",
            "telephone_number": "401-471-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KATHRYN",
        "middle_name": "LAMENDOLA",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.