Allison Michelle Diamond Camacho, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

262949 Issued in MA

Practice address

900 Union St
Westborough, MA 01581-5408

Phone

(508) 871-0700

Fax

(508) 616-4411

NPI assigned

Apr 18, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allison.camacho.npi1184841736.reliant@direct.optumcare.masshiway.net

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.

• Dothouse Health Inc.

  dba DotHouse Health

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1578514733
  Medicare reassignment NPD
• Reliant Medical Group, Inc

  • Physical Therapist
  • Worcester, MA
  • NPI 1295827962
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1184841736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PLANTATION ST FL 12",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052038",
            "telephone_number": "508-871-0700",
            "fax_number": "508-616-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 UNION ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015815408",
            "telephone_number": "508-871-0700",
            "fax_number": "508-616-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 E Main St",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811417",
            "country_code": "US",
            "telephone_number": "508-871-0700",
            "fax_number": "508-616-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "ALLISON",
        "middle_name": "MICHELLE DIAMOND",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "262949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110078038A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrie Burda, PSY.D.
• Ellen Burditt, LADC
• Leslie Croft Burke, MS/CCC-SP
• Charles Jonathan Burlile, MA
• Jarrett Matthew Burr, PA-C
• Nina Capobianco, L.M.T
• Eric Cardin, P.T.
• Daniel Carew, DPT
• Stephanie Carlson, LMHC
• Nikkola Carmichael, CGC

• Nurse Practitioner in Westborough, MA
• Providers in Westborough, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.