Individual provider Active NPI

Danielle Marie Tanque, F.N.P.-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Bedford, MA
National Provider Identifier
1780227751
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2269821 Issued in MA
Practice address
4334 Acushnet Ave
New Bedford, MA 02745-4614
Phone
(774) 438-4331
Fax
(800) 314-8017
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2269821 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2269821 MA Primary
Family Medicine Physician 207Q00000X RN2269821 MA

Addresses

Primary practice location

4334 Acushnet Ave
New Bedford, MA 02745-4614

Mailing address

4334 Acushnet Ave
New Bedford, MA 02745-4614
Phone (774) 438-4331

Other practice location 1

119 Coggeshall St
New Bedford, MA 02746-2443
Phone (508) 990-1900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191231000345 MA Practitioner - Nurse Practitioner 4385078237 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

119 Coggeshall St
New Bedford, MA 02746-2443
Phone (508) 990-1900

4334 Acushnet Ave
New Bedford, MA 02745-4614
Phone (508) 400-7765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2269821MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Massachusetts, PC Current Accepting new patients
Afc Physicians of Massachusetts CurrentSince Dec 15, 2024 Accepting new patients
Holistic Healing Pathways Psychiatric/Mental Health CurrentSince Aug 4, 2025 Accepting new patients
First Physicians Corporation CurrentSince Oct 1, 2020 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Dec 15, 2024 Accepting new patients

Locations

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

119 Coggeshall St
New Bedford, MA 02746
Phone (508) 235-5339

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1780227751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454614",
            "telephone_number": "774-438-4331",
            "fax_number": "800-314-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027454614",
            "telephone_number": "774-438-4331",
            "fax_number": "800-314-8017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Coggeshall St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027462443",
            "country_code": "US",
            "telephone_number": "508-990-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANQUE",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "F.N.P.-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2269821",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2269821",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "RN2269821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.