Individual provider Active NPI

Kathleen L. Knowlton, GNP-BS

  • Primary Care Nurse Practitioner
  • Lincoln, RI
National Provider Identifier
1629370309
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN01381 Issued in RI
Practice address
132 Old River Rd.
Ste 108
Lincoln, RI 02865-1397
Phone
(401) 723-9250
Fax
(814) 339-6165
NPI assigned
Dec 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN01381 RI
Gerontology Nurse Practitioner 363LG0600X APRN01381 RI
Primary Care Nurse Practitioner 363LP2300X APRN01381 RI Primary

Addresses

Primary practice location

132 Old River Rd.
Ste 108
Lincoln, RI 02865-1397

Mailing address

132 Old River Rd.
Ste 108
Lincoln, RI 02865-1397
Phone (401) 723-9250

Other practice location 1

725 Reservoir Ave Ste 103
Cranston, RI 02910
Phone (401) 829-4446

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
I20110624000294 RI Practitioner - Nurse Practitioner 9436337375 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Clinicals LLCGroup PAC ID 5294135620, 6 clinicians
New England Premier Healthcare LTDGroup PAC ID 5193001709, 5 clinicians

Practice addresses (Care Compare)

132 Old River Rd
Suite 108
Lincoln, RI 02865-1397
Phone (401) 723-9250

73 Robert Cir
Cranston, RI 02905-1021
Phone (401) 996-5267

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN01381RIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Core Clinicals LLC CurrentSince Sep 19, 2025 Accepting new patients
New England Premier Healthcare LTD CurrentSince Dec 1, 2018 Accepting new patients
Trucare Inc CurrentSince Jun 6, 2019 Accepting new patients
Patrick J Hackett LLC PastSince Feb 12, 2015 Accepting new patients

Locations

10 Woodland Dr
Coventry, RI 02816
Phone (401) 438-3250

725 Reservoir Ave
Ste 103
Cranston, RI 02910
Phone (401) 829-4446

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

262 Poplar St
Woonsocket, RI 02895
Phone (401) 765-2100

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1629370309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD.",
            "address_2": "STE 108",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651397",
            "telephone_number": "401-723-9250",
            "fax_number": "814-339-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD.",
            "address_2": "STE 108",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651397",
            "telephone_number": "401-723-9250",
            "fax_number": "814-339-6165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Reservoir Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "02910",
            "country_code": "US",
            "telephone_number": "401-829-4446",
            "fax_number": "401-829-4434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "KATHLEEN",
        "middle_name": "L.",
        "credential": "GNP-BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "RI",
            "license": "APRN01381",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN01381",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "RI",
            "license": "APRN01381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.