Individual provider Active NPI

Katherine P Obara, NP-C

  • Nurse Practitioner
  • Providence, RI
National Provider Identifier
1669787073
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN00642 Issued in RI
Practice address
1085 N Main St
Providence, RI 02904-5719
Phone
(401) 415-4200
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN00642 RI
Nurse Practitioner 363L00000X APRN00642 RI Primary

Addresses

Primary practice location

1085 N Main St
Providence, RI 02904-5719

Mailing address

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4200

Other practice location 1

10 Emory St
Attleboro, MA 02703-3089
Phone (508) 222-0118

Other practice location 2

16 Main St Ste 301
East Greenwich, RI 02818-3827
Phone (401) 542-5227

Other identifiers 3

IdentifierTypeStateIssuer
002669101OtherMEDICARE
709003943OtherRIMEDICARE GROUP PTAN
KO88278MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120622000495 RI Practitioner - Nurse Practitioner 5193919256 Reassigns benefits to 2 organizations
I20260131000292 MA Practitioner - Nurse Practitioner 5193919256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopehealth Hospice and Palliative CareGroup PAC ID 4587659255, shared by 4 NPIs, 46 clinicians

Practice addresses (Care Compare)

10 Emory St
Attleboro, MA 02703-3089
Phone (401) 415-4618

1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4275

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-2500

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004404CTMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Hospice & Palliative Care CurrentSince Sep 22, 2024 Accepting new patients
Hopehealth Hospice & Palliative Care CurrentSince Sep 22, 2024 Accepting new patients
Osh - Ri Physicians Group, PC Nurse Practitioner CurrentSince Jan 15, 2020 Accepting new patients
Osh-Mi Physicians Group PC Gerontology PastSince May 24, 2020 Accepting new patients

Locations

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

10 Emory St
Attleboro, MA 02703
Phone (401) 415-4618

1085 N Main St
Providence, RI 02904
Phone (401) 415-4200

300 Quaker Ln
#C24
Warwick, RI 02886
Phone (401) 233-5051

300 Quaker Ln
Warwick, RI 02886
Phone (401) 233-5051

Organizations & group practices 4

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 6

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1669787073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045719",
            "telephone_number": "401-415-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045719",
            "telephone_number": "401-415-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Emory St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027033089",
            "country_code": "US",
            "telephone_number": "508-222-0118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Main St Ste 301",
            "address_purpose": "LOCATION",
            "city": "East Greenwich",
            "state": "RI",
            "postal_code": "028183827",
            "country_code": "US",
            "telephone_number": "401-542-5227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBARA",
        "first_name": "KATHERINE",
        "middle_name": "P",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "RI",
            "license": "APRN00642",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN00642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "002669101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "709003943",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KO88278",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.