Individual provider Active NPI

Dianne Lory Higgins, MD

  • Emergency Medicine Physician
  • Incline Village, NV
National Provider Identifier
1558387449
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A42102 Issued in CA
Practice address
880 Alder Ave
Second Floor
Incline Village, NV 89451-8335
Phone
(775) 831-5308
Fax
(775) 831-3295
NPI assigned
Jul 14, 2006
Last updated
Dec 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A42102 CA Primary
Family Medicine Physician 207Q00000X 10165 NV

Addresses

Primary practice location

880 Alder Ave
Second Floor
Incline Village, NV 89451-8335

Mailing address

PO Box 805
Nevada City, CA 95959-0805
Phone (530) 271-3232

Other identifiers 3

IdentifierTypeStateIssuer
00A421021MedicaidCA
100503371MedicaidNV
10165OtherNV STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10165NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Filippini, M.D. LTD Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1558387449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 805",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959590805",
            "telephone_number": "530-271-3232",
            "fax_number": "530-271-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ALDER AVE",
            "address_2": "SECOND FLOOR",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518335",
            "telephone_number": "775-831-5308",
            "fax_number": "775-831-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "DIANNE",
        "middle_name": "LORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A42102",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A421021",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503371",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE LICENSE",
            "identifier": "10165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Incline Village, NV

Sources for this page

Verify at the official NPI Registry.