Individual provider Active NPI

Diane Gaughran, ACSM-CEP

  • Clinical Exercise Physiologist
  • Brighton, MA
National Provider Identifier
1609580141
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Practice address
280 Washington St Ste 100
Brighton, MA 02135-3511
Phone
(617) 787-7901
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X Primary

Addresses

Primary practice location

280 Washington St Ste 100
Brighton, MA 02135-3511

Mailing address

40 Overlook Dr
Bellingham, MA 02019-2922
Phone (508) 809-0922

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diane.gaughran@steward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1609580141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OVERLOOK DR",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020192922",
            "telephone_number": "508-809-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WASHINGTON ST STE 100",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353511",
            "telephone_number": "617-787-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGHRAN",
        "first_name": "DIANE",
        "credential": "ACSM-CEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diane.gaughran@steward.org",
            "affiliation": "N",
            "endpointDescription": "work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "280 Washington St Ste 100",
            "city": "Brighton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021353511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.