Patricia A Diffendale, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

119025 Issued in MA

Practice address

175 State Ave
Monson Developmental Ctr
Palmer, MA 01069-1843

Phone

(413) 283-3411

Fax

(413) 283-1361

NPI assigned

Dec 1, 2005

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043294135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WEST ST",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079621",
            "telephone_number": "413-283-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 STATE AVE",
            "address_2": "MONSON DEVELOPMENTAL CTR",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691843",
            "telephone_number": "413-283-3411",
            "fax_number": "413-283-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFFENDALE",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "119025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0706311",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NP2354",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary C. Demma, MD
• Mary Therese Denecke, M.ED
• Department of Developmental Services (Monson Developmental Center)
• DG Physical Therapy, P.C. (Select Physical Therapy)
• Stephen Dias, PHARMD
• Dhanesh Dookhran, M.D.
• Dennis M Dorans, OD
• Dr Sally Carlos OD & Associates
• Leslie A Dubinsky
• Helen M Duda, N.P.

• Adult Health Nurse Practitioner in Palmer, MA
• Providers in Palmer, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.