Active NPI
Dianne Lory Higgins, MD
- Emergency Medicine Physician
- Incline Village, NV
National Provider Identifier
1558387449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A42102
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A421021 | Medicaid | CA | |
| 100503371 | Medicaid | NV | |
| 10165 | Other | NV 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10165 | NV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Physician
- Reno, NV
- NPI 1255631917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.