Diane Roberto-Nichols, APRN

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

000131 Issued in CT

Practice address

105 West Rd
Ellington, CT 06029-3777

Phone

(860) 872-7854

Fax

(860) 870-7944

NPI assigned

Jul 26, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ellington Obstetrics & Gynecology Associates, P.C.

  • Obstetrics & Gynecology Physician
  • Ellington, CT
  • NPI 1770617409

  Obstetrics & Gynecology

  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154345874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ERIC DR",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381327",
            "telephone_number": "860-742-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEST RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293777",
            "telephone_number": "860-872-7854",
            "fax_number": "860-870-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTO-NICHOLS",
        "first_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CT",
            "license": "000131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Reid
• Julie Marie Resnik, R.N., B.S.N.
• Restore Wellness LLC
• Mary M Robbins, PH.D., PA-C
• Robert R Palozej OD, LLC
• Jessica Russell, LCSW
• Sallyz Applied Behavior Services LLC
• Sanford Linn LLC
• Ronald Harvey Scherick, DDS
• Denise Ann Scheuy, LPC

• Obstetrics & Gynecology Nurse Practitioner in Ellington, CT
• Providers in Ellington, CT by specialty
• Obstetrics & Gynecology Nurse Practitioner in Connecticut

• 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.