Diane Rose Croll, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

002827 Issued in CT

Practice address

600 Bond St
Bridgeport, CT 06610-2205

Phone

(203) 384-6505

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Trinity Healthcare, LLC

  • Nurse Practitioner
  • Brooklyn, NY
  • NPI 1912148339
  NPD Authorized official
• NP Care, LLC

  • Internal Medicine Physician
  • Shelton, CT
  • NPI 1326238866
  NPD (past)
• NP Care, LLC

  • Nurse Practitioner
  • Shelton, CT
  • NPI 1386693182
  NPD (past)
• Shoreline Psychiatry of Western Connecticut, LLC

  • Psychiatry Physician
  • Norwalk, CT
  • NPI 1134251564
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1447226915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OAKLAND DR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111909",
            "telephone_number": "203-459-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BOND ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102205",
            "telephone_number": "203-384-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROLL",
        "first_name": "DIANE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002827",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "2827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004257417",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyrone Craddock
• Karen Lynn Crainich
• Mary R Crean, M.S, CCC-SLP
• Margaret Creeth, LPC
• Emily E Criscuolo
• Polly F Cromwell, CPNP
• Harold Scott Cronin, M.D.
• Chelsea Kendall Cross, APRN FNP-BC
• Robbert Crusio, MD
• Eileen Crutchlow

• Family Nurse Practitioner in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.