Active NPI
Diane McGill, BSN
- Religious Nonmedical Nursing Personnel
- Brockton, MA
National Provider Identifier
1144584145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Nursing Personnel
- License
- RN118624
- Practice address
- 820 Pearl St
Suite 4
Brockton, MA 02301-4411 - Phone
- (508) 583-9800
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Religious Nonmedical Nursing Personnel | 374T00000X | RN118624 | MA | Primary |
Addresses
Primary practice location
820 Pearl St
Suite 4
Brockton, MA 02301-4411
Mailing address
102 Summer St
Kingston, MA 02364-1419
Phone (207) 310-0824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN118624 | Other | MA | RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN118624 | MA | MD | Religious Nonmedical Nursing Personnel |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1144584145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 SUMMER ST",
"city": "KINGSTON",
"state": "MA",
"postal_code": "023641419",
"telephone_number": "207-310-0824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PEARL ST",
"address_2": "SUITE 4",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014411",
"telephone_number": "508-583-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILL",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": "MA",
"license": "RN118624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "RN118624",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.