Provider Demographics
NPI:1831134469
Name:HEART, CATHERINE NOBLE (PCS)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:NOBLE
Last Name:HEART
Suffix:
Gender:F
Credentials:PCS
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:B
Other - Last Name:SOKOLOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PCS
Mailing Address - Street 1:117 ELLENFIELD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4541
Mailing Address - Country:US
Mailing Address - Phone:401-444-6779
Mailing Address - Fax:401-444-6912
Practice Address - Street 1:164 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2853
Practice Address - Country:US
Practice Address - Phone:401-793-4300
Practice Address - Fax:401-793-4312
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPPNS00030364SP0809X
RIAPRN00050364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI408744OtherBLUECHIP
RI23392-9OtherBCBS RI
RI23392-9OtherBCBS RI
RI408744OtherBLUECHIP