Individual provider Active NPI

Katie Cardoso, NP

  • Acute Care Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1902354228
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN2268541 Issued in MA
Practice address
795 Middle St
Emergency Department
Fall River, MA 02721-1733
Phone
(508) 674-5600
NPI assigned
Sep 15, 2016
Last updated
Sep 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN2268541 MA Primary

Addresses

Primary practice location

795 Middle St
Emergency Department
Fall River, MA 02721-1733

Mailing address

795 Middle St
Emergency Department
Fall River, MA 02721-1733
Phone (508) 674-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170111002700 MA Practitioner - Nurse Practitioner 9436430188 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

795 Middle St
Fall River, MA 02721-1733
Phone (508) 674-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carecentral Urgent Care Medical Group PC CurrentSince Nov 9, 2017 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Dec 31, 2024 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Dec 31, 2024 Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Jan 1, 2025 Accepting new patients
Steward Emergency Physicians, Inc CurrentSince Dec 1, 2016 Accepting new patients
Lifespan Corporation Current Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Nov 9, 2017 Accepting new patients
Martha's Vineyard Hospital Current Accepting new patients
Steward Medical Group, Inc PastSince Feb 1, 2018 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

233 Broad St
Bridgewater, MA 02324
Phone (508) 697-2564

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: cardoso.katie.mvh@direct.partners.masshiway.net
  • Direct secure messaging: kcardoso235799@brownhealth.medalliesdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1902354228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-674-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-674-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOSO",
        "first_name": "KATIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2268541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.