Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathy Ann Rebeiro, APRN-CNP

Individual provider Nurse Practitioner · NPI 1073539813

Kathy Ann Rebeiro, APRN-CNP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 1994, 32 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
32
Licensed in
RI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1195 N Main Street Cnemg Primary Care Wmc
Providence, RI 02904-0288
Phone: (401) 736-4562
Fax: (401) 921-9864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN01191 (RI)
Nurse Practitioner Taxonomy 363L00000X · Licence CNPP37182 (RI)

Record details

NPI number1073539813
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Providence