Active NPI
Diane Penny King, NP
- Adult Health Nurse Practitioner
- South Weymouth, MA
National Provider Identifier
1750436721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 107436
- Practice address
- 55 Fogg Rd
South Weymouth, MA 02190-2432 - Phone
- (781) 340-8592
- Fax
- (781) 340-8146
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 107436 | MA | Primary |
Addresses
Primary practice location
55 Fogg Rd
South Weymouth, MA 02190-2432
Mailing address
40 Cornet Stetson Rd
Hanover, MA 02339-2662
Phone (781) 340-8592
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107436 | MA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750436721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CORNET STETSON RD",
"city": "HANOVER",
"state": "MA",
"postal_code": "023392662",
"telephone_number": "781-340-8592",
"fax_number": "781-340-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FOGG RD",
"city": "SOUTH WEYMOUTH",
"state": "MA",
"postal_code": "021902432",
"telephone_number": "781-340-8592",
"fax_number": "781-340-8146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DIANE",
"middle_name": "PENNY",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "107436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Weymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.