IndividualActive
Nina Tatevian, MD PHD
NPI 1154377000 · Anatomic Pathology Physician · Providence, RI
Provider details
- NPI number
- 1154377000
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Female
- Sole proprietor
- No
- License
- MD10517 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Dudley St
Pathology Department
Providence, RI 02905-2401
Phone: (401) 453-7655
Street-level locationGet directions
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2759
Additional practice locations (1)
- 455 Toll Gate RdPathology DepartmentWarwick, RI 02886Phone: (401) 737-7000
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2025-08-05
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.