Diane E Smith, MD

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

MD09423 Issued in RI

Practice address

100 Kenyon Ave
Wakefield, RI 02879-4216

Phone

(401) 782-8000

NPI assigned

Dec 28, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Hospice and Community Services Inc

  • General Practice Physician
  • Fort Myers, FL
  • NPI 1255908968
  NPD (past)
• Hope Hospice and Community Services, Inc

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1114225745
  NPD (past)
• Hope Life Care

  • Case Management Agency
  • Fort Myers, FL
  • NPI 1346411089
  NPD (past)
• Hope Select Care

  • PACE Provider Organization
  • Fort Myers, FL
  • NPI 1467632406
  NPD (past)
• Masonicare Behavioral Health, LLC

  • Geriatric Psychiatry Physician
  • Wallingford, CT
  • NPI 1992781488
  NPD (past)
• Masonicare Primary Care Physicians

  • Geriatric Medicine (Internal Medicine) Physician
  • Wallingford, CT
  • NPI 1922084540
  NPD (past)
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  NPD (past)
• Pathways of Hope

  • Community/Behavioral Health Agency
  • Fort Myers, FL
  • NPI 1275708414
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1003893322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HOSPITAL DR",
            "address_2": "SUITE 108",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015009",
            "telephone_number": "802-447-5519",
            "fax_number": "802-447-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KENYON AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794216",
            "telephone_number": "401-782-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Hospital Dr",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052015009",
            "country_code": "US",
            "telephone_number": "802-447-5519",
            "fax_number": "802-447-5657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "042212",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "0420013392",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "RI",
            "license": "MD09423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026765",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "U400473648",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silver Spring Health Care Management, Inc.
• Silver Spring Health Care Management, Inc.
• Silver Spring Health Care Management, Inc.
• Mary Christina Simpson, M.D.
• Amanda Lois Smith, LCSW
• Erin Marie Smith, PA-C
• James Leighton Smythe, MD
• Hannah Snoeren-Place, LCSW
• Deborah Anne Soares, MS, LICSW
• Karen Ann Soderberg-Gomez, RNP

• Hospice and Palliative Medicine (Internal Medicine) Physician in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.