Individual provider Active NPI

Diane McGill, BSN

  • Religious Nonmedical Nursing Personnel
  • Brockton, MA
National Provider Identifier
1144584145
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Nursing PersonnelTaxonomy code 374T00000X
License
RN118624 Issued in MA
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

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN118624OtherMARN

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

LicenseStateTypeSpecialty
RN118624MAMDReligious 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.

Verify at the official NPI Registry.