Active NPI
Kathina Tayag, MA, ATC, PA-C
- Physician Assistant
- East Greenwich, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01227
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL3373 | FL | MD | Athletic Trainer |
| PA01227 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopedics, Inc. | Current | Accepting new patients | |
| Orthopedics Rhode Island, Inc | Physician Assistant | Current | Accepting new patients |
| University Orthopedics, Inc. | Current | Accepting new patients | |
| Orthopedics Rhode Island, Inc | Current | Accepting new patients | |
| University Orthopedics, Inc. | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Warwick, RI
- NPI 1407231293
Physician Assistant
-
- Orthopaedic Surgery Physician
- Providence, RI
- NPI 1235181041
-
- Orthopaedic Surgery Physician
- Mansfield, MA
- NPI 1013557727
-
- Durable Medical Equipment & Medical Supplies
- Johnston, RI
- NPI 1114740230
-
- Orthopaedic Surgery Physician
- Providence, RI
- NPI 1144605932
Physician Assistant
-
- Orthopaedic Surgery Physician
- Cranston, RI
- NPI 1285320093
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.