Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Fava, ACNP-BC

Individual provider Registered Nurse · NPI 1053682765

Kathleen Fava, ACNP-BC is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2011, 15 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
15
Licensed in
RI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

593 Eddy Street Jane Brown 2 S
Providence, RI 02903-4923
Phone: (401) 444-5943
Fax: (401) 444-4216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 444-5943

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence NPP37680 (RI)
Registered Nurse Taxonomy 163W00000X · Licence RN34380 (RI)

Record details

NPI number1053682765
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedJanuary 26, 2012
Last updated in NPPESDecember 5, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients20
Services billed 43 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • The Miriam Hospital Hospital · Providence, RI
  • Rhode Island Hospital Hospital · Providence, RI

Colleagues at Lifespan Physician Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1125 clinicians in the practice; 12 are shown here.

Other providers in Providence