Diane M Kotsaftis

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

86736 Issued in MA

Legal business name

DIANE M KOTSAFTIS

Practice address

531 King St
Suite 3
Littleton, MA 01460-1279

Phone

(978) 486-9898

Fax

(978) 486-9770

NPI assigned

May 5, 2008

Organization subpart

No

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

Authorized official

Name

Diane M Kotsaftis, NPNPI 1043269483

Title

Owner

Phone

(978) 486-9898

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane M Kotsaftis, NP

  • Nurse Practitioner
  • Littleton, MA
  • NPI 1043269483
  NPD (past) Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1619143294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 KING ST",
            "address_2": "SUITE 3",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601279",
            "telephone_number": "978-486-9898",
            "fax_number": "978-486-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 KING ST",
            "address_2": "SUITE 3",
            "city": "LITTLETON",
            "state": "MA",
            "postal_code": "014601279",
            "telephone_number": "978-486-9898",
            "fax_number": "978-486-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE M KOTSAFTIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "KOTSAFTIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-486-9898",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "86736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NPG002",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Littleton, MA
• Providers in Littleton, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.