Stefanie Lynn Diamond, PAC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

0141P Issued in NH

Practice address

875 Greenland Rd
Suite C4
Portsmouth, NH 03801-4164

Phone

(603) 431-5529

Fax

(603) 436-6603

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Seacoast Area Physiatry, PC

  • Physical Medicine & Rehabilitation Physician
  • Portsmouth, NH
  • NPI 1912949496
  NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497835896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 GREENLAND RD",
            "address_2": "SUITE C4",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014164",
            "telephone_number": "603-431-5529",
            "fax_number": "603-436-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 GREENLAND RD",
            "address_2": "SUITE C4",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014164",
            "telephone_number": "603-431-5529",
            "fax_number": "603-436-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "STEFANIE",
        "middle_name": "LYNN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NH",
            "license": "0141P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Devoe
• Amanda Dewildt, LMFT
• Emily Dewsnap
• Bonnie Dextraze
• Amira Diamond-Bier, ND
• Diane Kleist Physical Therapy LLC
• Benjamin John Diaz
• Elaine M Dicecca
• Peter S Dicks, MD
• Stephanie Diecidue

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.