Individual provider Active NPI

Kathina Tayag, MA, ATC, PA-C

  • Physician Assistant
  • East Greenwich, RI
National Provider Identifier
1700289378
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01227 Issued in RI
Practice address
1598 S County TRL Ste 100
East Greenwich, RI 02818-1762
Phone
(401) 443-4100
NPI assigned
Sep 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL3373 FL
Physician Assistant 363A00000X PA7576 MA
Physician Assistant 363A00000X PA01227 RI Primary

Addresses

Primary practice location

1598 S County TRL Ste 100
East Greenwich, RI 02818-1762

Mailing address

PO Box 1119
Providence, RI 02901-1119

Other names 1

  • Kathina Sheets Former name

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
I20200805002322 RI Practitioner - Physician Assistant 3678998895 Reassigns benefits to 2 organizations
I20220307002243 MA Practitioner - Physician Assistant 3678998895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians

Practice addresses (Care Compare)

285 Promenade St
Providence, RI 02908-5794
Phone (401) 777-7000

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

900 Warren Ave
Suite 202
East Providence, RI 02914-1430
Phone (401) 777-7000

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
AL3373FLMDAthletic Trainer
PA01227RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Orthopedics Rhode Island, Inc Physician Assistant CurrentSince Mar 7, 2022 Accepting new patients
University Orthopedics, Inc. CurrentSince Jan 15, 2021 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Mar 7, 2022 Accepting new patients
University Orthopedics, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Orthopedics Rhode Island, Inc Physician Assistant Past Accepting new patients

Locations

10 Reservoir St
Ste 101
Mansfield, MA 02048
Phone (508) 618-7111

1598 S County Trl
Ste 100
East Greenwich, RI 02818
Phone (401) 884-1177

1 Kettle Point Ave
East Providence, RI 02914
Phone (401) 330-1400

588 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 722-2400

285 Promenade St
Providence, RI 02908
Phone (401) 459-4001

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

200 Crossings Blvd
Ste 310
Warwick, RI 02886

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDFCA

Organizations & group practices 6

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": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1700289378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029011119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 S COUNTY TRL STE 100",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181762",
            "telephone_number": "401-443-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYAG",
        "first_name": "KATHINA",
        "credential": "MA, ATC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3373",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA7576",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHINA",
            "last_name": "SHEETS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.