Kathryn Basques, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Cranston, RI
NPI 1982954160 · NPPES record last updated Jul 16, 2025
Key facts
- NPI
- 1982954160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN02787 (RI)
- Practice address
- 1052 Park Ave
Cranston, RI 02910-3225 - Phone
- (401) 461-5056
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211208000368 | RI | Practitioner - Nurse Practitioner | 0345558557 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Lifespan Physician Group, Inc. | Single Specialty | Current |
Accepting new patients |
| Rhode Island Hospital | Current |
Accepting new patients | |
| Rhode Island Hospital | Single Specialty | Current |
Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
164 Summit Ave
Ste 2B
Providence, RI 02906
Phone (401) 793-3376
593 Eddy St
Providence, RI 02903
200 Corliss St
Providence, RI 02904
Phone (401) 606-8530
200 Corliss St
#1
Providence, RI 02904
Phone (401) 606-8530
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ01040900 | NJ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5144 | CT | |
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | APRN02787 | RI | Yes |
Addresses
Primary practice location
1052 Park Ave
Cranston, RI 02910-3225
Mailing address
200 Corliss St
Providence, RI 02904-2602
Phone (401) 606-8530
Other practice location 1
200 Corliss St
Providence, RI 02904-2602
Phone (401) 606-8530
Other providers in Cranston, RI
- Andy Barnes
- Anthony J Barone
- Jessica Barrett
- Lori Barrone
- Christine Rose Barry
- Sarah Batista
- Kimerly A. Baxter
- Amy Kathleen Bayer
- Beacon Dental Health Ri, PC
- Beacon Dental Health Ri, PC
All providers in Cranston, RI · Psychiatric/Mental Health 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 Jul 16, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.