Healthcare Provider Details

I. General information

NPI: 1073555645
Provider Name (Legal Business Name): DAWN M CATER NPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 SCHOOL ST STE 305
PAWTUCKET RI
02860-5337
US

IV. Provider business mailing address

333 SCHOOL ST STE 305
PAWTUCKET RI
02860-5337
US

V. Phone/Fax

Practice location:
  • Phone: 401-443-8943
  • Fax: 401-543-2633
Mailing address:
  • Phone: 401-443-8943
  • Fax: 401-543-2633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN00416
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number00416
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number00416
License Number StateRI
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number00416
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: