NPIMap

Organization Active NPI

Diane R. Dube LLC

  • Registered Dietitian
  • Swampscott, MA
National Provider Identifier
1265586838
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
748 Issued in MA
Legal business name
DIANE R. DUBE LLC
Practice address
250 Paradise Road
Swampscott, MA 01907
Phone
(617) 240-6383
Fax
(978) 745-7982
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Ms. Diane R Dube, RDN, LDN, CDECESNPI 1538161112
Title
Owner
Phone
(617) 240-6383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 748 MA Primary

Addresses

Primary practice location

250 Paradise Road
Swampscott, MA 01907

Mailing address

PO Box 8465
Salem, MA 01971-8465
Phone (617) 240-6383

Other identifiers 6

IdentifierTypeStateIssuer
7388195OtherTXAETNA
39433OtherMAHARVARD PILGRIM HEALTH CA
LG0031OtherMABLUE CROSS BLUE SHIELD
798601OtherMATVFTS HEALTH PLAN
L00036OtherMABLUE CROSS BLUE SHIELD
1455252OtherMACIGNA

National Provider Directory

National Provider Directory

Locations

2 1st Ave
Ste 112
Peabody, MA 01960
Phone (603) 801-8776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1265586838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8465",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019718465",
            "telephone_number": "617-240-6383",
            "fax_number": "978-745-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARADISE ROAD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "01907",
            "telephone_number": "617-240-6383",
            "fax_number": "978-745-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE R. DUBE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DUBE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-240-6383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN, LDN, CDECES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7388195",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "39433",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LG0031",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TVFTS HEALTH PLAN",
            "identifier": "798601",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "L00036",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1455252",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.