Individual provider Active NPI

Denise Cynthia Gnazzo, N.P.

  • Nurse Practitioner
  • Dartmouth, MA
National Provider Identifier
1477635340
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
181612 Issued in MA
Practice address
535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone
(508) 996-3991
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 181612 MA Primary

Addresses

Primary practice location

535 Faunce Corner Rd
Dartmouth, MA 02747-1242

Mailing address

535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Other practice location 1

15 roche brothers way suite 220
one washington place
North Easton, MA 02356-1000
Phone (508) 238-4627

Other names 1

  • Miss Denise Cynthia Mann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061109000596 MA Practitioner - Nurse Practitioner 4183698533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

535 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
181612MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Corporation Current Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Jul 14, 2025 Accepting new patients
Cape Elizabeth Family Medicine, LLC Past Accepting new patients
Boston Medical Group, PC Past Accepting new patients
Max Health Maine LLC Past Accepting new patients
Southeast Anesthesia Assoc Past Accepting new patients

Locations

535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0606

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

Interoperability endpoints

  • Direct secure messaging: dgnazzo237669@brownhealth.medalliesdirect.net
  • Direct secure messaging: denise.gnazzo.1@2017.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4083/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1477635340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 roche brothers way suite 220",
            "address_2": "one washington place",
            "address_purpose": "LOCATION",
            "city": "North Easton",
            "state": "MA",
            "postal_code": "023561000",
            "country_code": "US",
            "telephone_number": "508-238-4627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GNAZZO",
        "first_name": "DENISE",
        "middle_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "181612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "MANN",
            "middle_name": "CYNTHIA",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.