Active NPI
Jessica Dias, FNP
- Family Nurse Practitioner
- Canton, MA
National Provider Identifier
1033568233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2294431
- Practice address
- 45 Dan Rd
Canton, MA 02021-2852 - Phone
- (781) 867-2050
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2294431 | MA | Primary |
Addresses
Primary practice location
45 Dan Rd
Canton, MA 02021-2852
Mailing address
PO Box 620550
Newton Lower Falls, MA 02462-0550
Phone (781) 867-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2294431 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Point Treatment Center Inc. | Current | Accepting new patients | |
| Vantage Healthcare LLC | Current | Accepting new patients | |
| Vantage Healthcare Soho PLLC | Current | Accepting new patients | |
| Premier Healthcare Services, LLC | Past | Accepting new patients |
Locations
45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609
68 N Front St
New Bedford, MA 02740
Phone (508) 689-5576
72 Kilburn St
New Bedford, MA 02740
Phone (774) 213-8448
1233 State Rd
Plymouth, MA 02360
Phone (508) 224-6527
Organizations & group practices 6
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.
-
- Counselor
- New Bedford, MA
- NPI 1518996354
-
- Internal Medicine Physician
- Canton, MA
- NPI 1366903551
-
- Geriatric Medicine (Internal Medicine) Physician
- Dartmouth, MA
- NPI 1306161443
-
- Geriatric Medicine (Internal Medicine) Physician
- North Dartmouth, MA
- NPI 1316261993
-
- Internal Medicine Physician
- Naugatuck, CT
- NPI 1679117501
-
- Geriatric Medicine (Internal Medicine) Physician
- Dartmouth, MA
- NPI 1174089163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1033568233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 620550",
"city": "NEWTON LOWER FALLS",
"state": "MA",
"postal_code": "024620550",
"telephone_number": "781-867-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 DAN RD",
"city": "CANTON",
"state": "MA",
"postal_code": "020212852",
"telephone_number": "781-867-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAS",
"first_name": "JESSICA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2294431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.