Individual provider Active NPI

Diane Marie Nadeau, RN CDOE

  • Registered Nurse
  • Ashaway, RI
National Provider Identifier
1407581499
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
177864 Issued in CT
Practice address
2 Maxson Hill Rd
Ashaway, RI 02804
Phone
(401) 287-1153
NPI assigned
Jul 22, 2022
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 20280 RI
Registered Nurse 163W00000X 177864 CT Primary

Addresses

Primary practice location

2 Maxson Hill Rd
Ashaway, RI 02804

Mailing address

2 Maxson Hill Rd
Ashaway, RI 02804
Phone (401) 287-1153

Other identifiers 2

IdentifierTypeStateIssuer
177864OtherCTRN LICENSE
20280OtherRIRN LICENSE

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
177864CTMDRegistered Nurse
20280RIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1407581499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MAXSON HILL RD",
            "city": "ASHAWAY",
            "state": "RI",
            "postal_code": "02804",
            "telephone_number": "401-287-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAXSON HILL RD",
            "city": "ASHAWAY",
            "state": "RI",
            "postal_code": "02804",
            "telephone_number": "401-287-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "RN CDOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "20280",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "177864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "177864",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "20280",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashaway, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.