DIANE F CLINTON (NPI# 1659408235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659408235 |
| Entity Type | Individual |
| Full Name | DIANE F CLINTON |
| Credential | APRN, BC |
| Practice Address |
130 Marshall Rd Lowell MA 01852-5130 |
| Practice Telephone | 9786719160 |
| Mailing Telephone | 9786719160 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
137269 | MA | Nursing Service Providers |
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
RN137269 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | AETNA PROVIDER NETWORK | 7670192 | 01 |
| MA | S71392 | 05 | |
| MA | TUFTS HEALTH PLAN | 711959 | 01 |
| MA | HARVARD PILGRIM HEALTH CA | 003849 | 01 |
| MA | MAGELLAN | 148070000 | 01 |
| MA | BLUE CROSS BLUE SHEILD | PN0164 | 01 |
| MA | PACIFICARE BEHAVIORAL HEA | 286539 | 01 |
| Street Address |
130 MARSHALL RD |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079668 | Meredith A Enright | Nurse Practitioner | 130 Marshall Rd, Lowell, MA 01852-5130 | 2005-10-31 |
| 1801401336 | Kristin Latino | Occupational Therapist | 130 Marshall Rd, Lowell, MA 01852-5130 | 2020-09-11 |
| 1881119733 | Justin Mayhew | Dietitian, Registered | 130 Marshall Rd, Lowell, MA 01852-5130 | 2017-08-11 |
| 1376786715 | Keiya Angenette Myles | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2009-04-15 |
| 1861681934 | Alexander J Scerbo | Clinical Nurse Specialist | 130 Marshall Rd, Lowell Cboc, Lowell, MA 01852-5130 | 2007-10-15 |
| 1760684955 | Shivani Motkar Reddy | Internal Medicine | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-06-01 |
| 1750509063 | Sun Ok Lee | Nurse Practitioner | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-04-23 |
| 1619038015 | Nicole Marie Powell | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-12-12 |
| 1235222019 | Joanne Mary Lyson | Physical Therapist | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-10-02 |
| 1982700357 | Robert Alan Daniels | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1336787498 | Frieda Albertini Duffy | Clinical Nurse Specialist | 906d Ridgefield Cir, Clinton, MA 01510-1448 | 2019-12-19 |
| 1184269201 | David John Becker | Clinical Nurse Specialist | 110 Stuart St Unit 18h, Boston, MA 02116-5668 | 2019-11-13 |
| 1770131252 | Advanced Psychiatric Services LLC | Clinical Nurse Specialist | 1 Union Pl Ste 101, Dedham, MA 02026-4437 | 2019-08-28 |
| 1235691304 | Laurie Zelas Private Practice LLC | Clinical Nurse Specialist | 2 Summer St Ste 16, Natick, MA 01760-4529 | 2019-04-05 |
| 1184199630 | Rose Paolini, LLC | Clinical Nurse Specialist | 100 Laurel St, East Bridgewater, MA 02333-1846 | 2018-10-11 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1548706831 | Mary Foley | Clinical Nurse Specialist | 5 Bristol Dr Ste 1b, South Easton, MA 02375-1917 | 2017-01-11 |
| 1407172588 | Kjersten Johnsen | Clinical Nurse Specialist | 290 Pleasant St, 102, Watertown, MA 02472-2427 | 2010-04-14 |
| 1366691446 | Beverley Scannell | Clinical Nurse Specialist | 139 Mechanic St, Suite 2, Bellingham, MA 02019-1690 | 2008-09-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.