Katelyn R Agnew, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN02327 Issued in RI

Practice address

205 Bullocks Point Ave Ste 2
Riverside, RI 02915-5336

Phone

(401) 433-9453

Fax

(401) 340-1650

NPI assigned

Apr 15, 2020

Last updated

Aug 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Primary & Psychiatric Integrated Care

  • Family Nurse Practitioner
  • West Warwick, RI
  • NPI 1508483694
  Medicare reassignment NPD
• The Providence Center

  • Community/Behavioral Health Agency
  • Providence, RI
  • NPI 1134977598
  NPD (past)
• Victorian Eye Care Inc.

  • Optometrist
  • West Warwick, RI
  • NPI 1194043000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1972122364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BULLOCKS POINT AVE STE 2",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155336",
            "telephone_number": "401-433-9453",
            "fax_number": "401-340-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BULLOCKS POINT AVE STE 2",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155336",
            "telephone_number": "401-433-9453",
            "fax_number": "401-340-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNEW",
        "first_name": "KATELYN",
        "middle_name": "R",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kagnew@direct.carene.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "455 Toll Gate Rd",
            "city": "Warwick",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028862759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yasin Abul, M.D
• Anita Abure
• Advanced Dentistry of Rhode Island LLC
• Adviniacare Orchard LLC
• Katelyn Affleck, PHD
• Mary Angeli Maganto Aguinaldo
• Jesus Ismael Aguirre Jr., MD
• Ahavah Home LLC (Bella Villa Assisted Living)
• Elizabeth J Alexander, OTR
• Hina Ali, MD

• Psychiatric/Mental Health Nurse Practitioner in Riverside, RI
• Providers in Riverside, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.