Maryann Daidone, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

190987 Issued in MA

Practice address

150 S Huntington Ave
Jamaica Plain, MA 02130-4817

Phone

(617) 232-9500

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1548813165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BUXTON CT",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103508",
            "telephone_number": "617-763-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S HUNTINGTON AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304817",
            "telephone_number": "617-232-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIDONE",
        "first_name": "MARYANN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-04-13",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ophthalmic",
            "state": "MA",
            "license": "190987",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "190987",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "190987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "maryann.daidone2@va.gov",
            "affiliation": "N",
            "address_1": "150 S Huntington Ave",
            "city": "Jamaica Plain",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021304817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• CVS Pharmacy Inc (CVS Pharmacy # 02070)
• CVS Pharmacy Inc (CVS Pharmacy #01264)
• Elina Cymerman, PH.D.
• Donald C D'Agostino, LICSW
• Caitlin Marie Dacey, RN, CPNP
• Carrie Daly, LICSW
• Erin Scott Daly, PH.D.
• Garo Damla, M.D.
• James Dandrea
• Thomasina Daniels, MSW

• Nurse Practitioner in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.