Individual provider Active NPI

Linda Diggins-Domina, RN

  • Registered Nurse
  • Bloomfield, CT
National Provider Identifier
1396407201
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
E51333 Issued in CT
Practice address
200 Seabury Dr
Bloomfield, CT 06002-5618
Phone
(860) 243-4034
Fax
(860) 286-5405
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN254426 MA
Home Health Registered Nurse 163WH0200X E51333 CT
Registered Nurse 163W00000X E51333 CT Primary

Addresses

Primary practice location

200 Seabury Dr
Bloomfield, CT 06002-5618

Mailing address

366 Lydall St
Manchester, CT 06042-3301
Phone (860) 657-5111

Other names 1

  • Linda Diggins Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
E51333CTMDRegistered Nurse
RN254426MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1396407201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 LYDALL ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423301",
            "telephone_number": "860-657-5111",
            "fax_number": "860-286-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SEABURY DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060025618",
            "telephone_number": "860-243-4034",
            "fax_number": "860-286-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGINS-DOMINA",
        "first_name": "LINDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN254426",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CT",
            "license": "E51333",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E51333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "DIGGINS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.