Provider Demographics
NPI:1073555645
Name:CATER, DAWN M (NPP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:CATER
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 MAIN AVE
Mailing Address - Street 2:GENESIS HEALTH CARE GREENWOOD CENTER
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1940
Mailing Address - Country:US
Mailing Address - Phone:401-739-6600
Mailing Address - Fax:401-738-0310
Practice Address - Street 1:1139 MAIN AVE
Practice Address - Street 2:GENESIS HEALTH CARE GREENWOOD CENTER
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1940
Practice Address - Country:US
Practice Address - Phone:401-739-6600
Practice Address - Fax:401-738-0310
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RI00416207QB0002X, 363L00000X, 363LP2300X
RIAPRN00416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care