Active NPI
Julie Ditata, AGNP-C
- Nurse Practitioner
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2289149
- Practice address
- 235 Hanover St
Fall River, MA 02720-5246 - Phone
- (508) 973-1021
- Fax
- (508) 973-9185
- NPI assigned
- Jul 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2289149 | MA | Primary |
Addresses
Primary practice location
235 Hanover St
Fall River, MA 02720-5246
Mailing address
200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 758-3781
Hospital & facility affiliations
- Southcoast Hospitals Group
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2289149 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients |
Locations
155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420
208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
235 Hanover St
Fall River, MA 02720
Phone (508) 646-9525
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
535 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 961-0665
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- jdeakin16418@direct.southcoast.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
MA, Nurse Practitioner
-
- Emergency Medicine Physician
- Fairhaven, MA
- NPI 1861830143
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1689245276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MILL RD STE 180",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027195255",
"telephone_number": "508-973-2000",
"fax_number": "508-973-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 HANOVER ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027205246",
"telephone_number": "508-973-1021",
"fax_number": "508-973-9185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITATA",
"first_name": "JULIE",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2289149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.