Individual provider Active NPI

Dianne Marie Cudworth, ANP-BC

  • Adult Health Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1336454826
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11030863 Issued in FL
Practice address
1000 36TH St
Vero Beach, FL 32960-6592
Phone
(772) 567-4311
Fax
(772) 794-1474
NPI assigned
Aug 10, 2010
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11030863 FL
Adult Health Nurse Practitioner 363LA2200X APRN11030863 FL Primary

Addresses

Primary practice location

1000 36TH St
Vero Beach, FL 32960-6592

Mailing address

1000 36TH St
Vero Beach, FL 32960-6592
Phone (772) 567-4311

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-8515

Other practice location 2

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Dcolace@soundphysicians.com
Direct Messaging Address dcudworth338655@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Direct Messaging Address cudword@ccf.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161201000976 MA Practitioner - Nurse Practitioner 5799939104 Reassigns benefits to 4 organizations
I20240602000100 FL Practitioner - Nurse Practitioner 5799939104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

1000 36TH St
Suite 5105
Vero Beach, FL 32960-4862
Phone (772) 567-4311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Massachusetts Inc CurrentSince Oct 1, 2019 Accepting new patients
Sound Physicians of Massachusetts, Inc Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 8, 2016 Accepting new patients
Hospitalist Physicians of Massachusetts PC Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients
Indian River Health Services Inc CurrentSince Jun 24, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 8, 2016 Accepting new patients
Indian River Health Services Inc CurrentSince Jun 24, 2024 Accepting new patients
Sound Physicians of Massachusetts Inc Current Accepting new patients
Umass Memorial Medical Group Inc Nurse Practitioner CurrentSince Dec 17, 2020 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Dec 17, 2020 Accepting new patients

Locations

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

1000 36th St
Ste 5105
Vero Beach, FL 32960

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dcolace@soundphysicians.com
  • Direct secure messaging: dcudworth338655@umassmemorial.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1336454826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606592",
            "telephone_number": "772-567-4311",
            "fax_number": "772-794-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606592",
            "telephone_number": "772-567-4311",
            "fax_number": "772-794-1474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-8515",
            "fax_number": "508-334-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Summer St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-363-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUDWORTH",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11030863",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11030863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dcolace@soundphysicians.com",
            "affiliation": "N",
            "address_1": "123 Summer St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016081216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcudworth338655@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cudword@ccf.org",
            "affiliation": "N",
            "endpointDescription": "1000 36th St, Vero Beach, FL 32960",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1000 36th St",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329604862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.