Individual provider Active NPI

Andrew Diamond, CERTIFIED EKG TECH

  • Cardiology Technician
  • Peabody, MA
National Provider Identifier
1356985519
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiology TechnicianTaxonomy code 246W00000X
License
240717180011 Issued in MA
Practice address
3 Magnolia Way Apt 327
Peabody, MA 01960-8851
Phone
(978) 535-6372
NPI assigned
Oct 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiology Technician 246W00000X 240717180011 MA Primary

Addresses

Primary practice location

3 Magnolia Way Apt 327
Peabody, MA 01960-8851

Mailing address

3 Magnolia Way Apt 327
Peabody, MA 01960-8851

Other identifiers 2

IdentifierTypeStateIssuer
240717180011OtherASPT EKG SPECIALIST CERTIFICATION
13BHN2OtherAMERICAN RED CROSS - BLS FOR HEALTH PROVIDERS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aedia4@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
240717180011MAMDCardiology Technician

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1356985519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAGNOLIA WAY APT 327",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019608851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAGNOLIA WAY APT 327",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019608851",
            "telephone_number": "978-535-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "ANDREW",
        "credential": "CERTIFIED EKG TECH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": "MA",
            "license": "240717180011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPT EKG SPECIALIST CERTIFICATION",
            "identifier": "240717180011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN RED CROSS - BLS FOR HEALTH PROVIDERS",
            "identifier": "13BHN2",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aedia4@gmail.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Magnolia Way Apt 327",
            "city": "Peabody",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019608851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.