Katelynn Socha, MSN, RN/NP
Individual provider Active NPI Pediatric Nurse Practitioner · Cumberland, RI
NPI 1669810974 · NPPES record last updated Dec 11, 2018
Key facts
- NPI
- 1669810974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- APRN01299 (RI)
- Practice address
- 2 Meehan LN
Cumberland, RI 02864-1413 - Phone
- (401) 658-2525
- NPI assigned
- Jun 8, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2286703 | MA | MD | Registered Nurse |
| RN50761 | RI | MD | Pediatric Registered Nurse |
| RN/NP2286073 | MA | MD | Pediatric Nurse Practitioner |
| APRN01299 | RI | MD | Pediatric Nurse Practitioner |
| CAPRN01299 | RI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Kids R.I. Sick Care LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2286703 | MA | |
| Pediatric Registered Nurse | 163WP0200X | RN50761 | RI | |
| Pediatric Nurse Practitioner | 363LP0200X | RN/NP2286073 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | CAPRN01299 | RI | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN01299 | RI | Yes |
Addresses
Primary practice location
2 Meehan LN
Cumberland, RI 02864-1413
Mailing address
2 Meehan LN
Cumberland, RI 02864-1413
Phone (401) 658-2525
Other practice location 1
387 Quarry St
Suite 100
Fall River, MA 02723-1025
Phone (508) 679-8111
Other providers in Cumberland, RI
- Alyson G Slaney
- Sleep Health Centers LLC
- Sleep Health Centers LLC
- Sleep Health Centers LLC
- Amanda Smith
- Robin Sollars
- Kyler Jordan Solomon
- Nadia L Solomon
- Jennifer Souther
- Sowa Holistic Therapy & Wellness LLC
All providers in Cumberland, RI · Pediatric Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.