Kathleen Fava is a Providence, Rhode Island based nurse practitioner with 14 years of experience in . She completed her graduation in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathleen Fava is NPP37680 for Acute Care in Rhode Island. Her current practice location is 593 Eddy Street, Jane Brown, 2 South, Providence. Patients can reach her at 401-444-5943 or can fax her at 401-444-4216. Kathleen Fava is ACNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1053682765. Kathleen Fava has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kathleen Fava speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Kathleen Fava
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
ACNP-BC
Experience:
14+ years
Medical School Attended:
Other
Graduation Year:
2011
Accepts Medicare Assignment:
Yes
Practice Address:
593 Eddy Street, Jane Brown, 2 South, Providence, Rhode Island, 02903-4923
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0042474306
Enrollment ID:
I20120618000315
NPI Number:
1053682765
NPI Enumeration Date:
26 Jan, 2012
NPI Last Update On:
05 Dec, 2018
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen Fava are as mentioned below.
License Number
Specialization
State
Status
NPP37680
Acute Care
Rhode Island
Primary
RN34380
Registered Nurse
Rhode Island
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(410007)
Providence, RI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kathleen Fava is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Lifespan Physician Group Inc (2567455082)
643
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kathleen Fava 117 Ellenfield St Ste 101, Providence, Rhode Island
Zip:
02905-4513
Phone Number:
401-444-6779
Fax Number:
401-444-6912
Patients can reach Kathleen Fava at 593 Eddy Street, Jane Brown, 2 South, Providence, Rhode Island or can call to book an appointment on 401-444-5943.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.