Diane M Doucette, FNP

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

124453 Issued in MA

Practice address

75 Riverside Ave
Suite 3
Medford, MA 02155-4600

Phone

(781) 396-6437

Fax

(781) 395-7716

NPI assigned

May 4, 2007

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

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154533842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RIVERSIDE AVE",
            "address_2": "SUITE 3",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554600",
            "telephone_number": "781-396-6437",
            "fax_number": "781-395-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 RIVERSIDE AVE",
            "address_2": "SUITE 3",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554600",
            "telephone_number": "781-396-6437",
            "fax_number": "781-395-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MA",
            "license": "124453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiaotianyi Dong
• Claire Frances Donnelly, A.T.R., L.M.H.C.
• Erin Brooke Donnelly, PT, DPT, ATC
• Rachel Dorsey, CCC-SLP
• Helder Dos Santos Oliveira, BA
• Mark James Doughtie, ATC
• Meghan Colleen Dowd Murray, LICSW
• Dr Anthony W Iraca of Medford Inc
• Dr. Farzad T Parsi DDS PC
• Dr. Richard a Short DMD, Dr. Ronni Ann Schnell DMD

• Diabetes Educator Registered Nurse in Medford, MA
• Providers in Medford, MA by specialty
• Diabetes Educator Registered Nurse 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.