Diana L Fairfax, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN161165 Issued in MA

Practice address

153 E. Washington Street
N. Attleboro, MA 02760

Phone

(508) 699-7546

Fax

(508) 699-7570

NPI assigned

Jul 13, 2005

Last updated

Apr 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, RI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dfairfax@fairfax.emadirect.md
• Direct secure messaging: dmiller@apderm.emadirect.md

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

• Fairfax Acne & Dermatology Services, PC

  dba Fairfax Acne & Dermatology, PC

  • Nurse Practitioner
  • East Providence, RI
  • NPI 1245947332
  Medicare reassignment Authorized official
• Dermatology Professionals, LLC

  • Dermatology Physician
  • North Attleboro, MA
  • NPI 1992123525
  Medicare reassignment
• Findley Dermatology, LLC

  • MOHS-Micrographic Surgery Physician
  • East Providence, RI
  • NPI 1093439044
  NPD

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1023016953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E. WASHINGTON STREET",
            "city": "N. ATTLEBORO",
            "state": "MA",
            "postal_code": "02760",
            "telephone_number": "508-699-7546",
            "fax_number": "508-699-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E. WASHINGTON STREET",
            "city": "N. ATTLEBORO",
            "state": "MA",
            "postal_code": "02760",
            "telephone_number": "508-699-7546",
            "fax_number": "508-699-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRFAX",
        "first_name": "DIANA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "161165",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN161165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behavioral Associates of Massachusetts Inc. ABA Services (Halcyon Center ABA Services)
• Christopher Collins, DPT, PT
• Community Health Afc
• Divine Hands Homecare LLC
• Global Homecare and Staffing LLC
• Guardianship Health LLC (Guardianship Adult Foster Care)
• Hockomock Young Men's Christian Association, Inc.
• Horace Mann Educational Assoc., Inc. (Hmea)
• Alexandra M Kochel, DPT, PT

• Nurse Practitioner in N Attleboro, MA
• Providers in N Attleboro, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.