Individual provider Active NPI

Deirdre Margaret Callahan, DNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1811715816
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN2378659 Issued in MA
Practice address
300 Hanover St Ste 2E
Fall River, MA 02720-5451
Phone
(508) 673-2400
NPI assigned
Sep 30, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN2378659 MA Primary

Addresses

Primary practice location

300 Hanover St Ste 2E
Fall River, MA 02720-5451

Mailing address

300 Hanover St Ste 2E
Fall River, MA 02720-5451
Phone (508) 673-2400

Other practice location 1

1 Taunton Grn
Taunton, MA 02780-3225
Phone (508) 823-6924

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
I20250130001195 MA Practitioner - Nurse Practitioner 0345779732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens for Citizens, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Citizens for Citizens, Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

300 Hanover St
Ste 2E
Fall River, MA 02720
Phone (508) 673-2400

337 Hanover St
Fall River, MA 02720
Phone (508) 679-0198

1 Taunton Grn
Taunton, MA 02780
Phone (508) 822-4027

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1811715816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST STE 2E",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205451",
            "telephone_number": "508-673-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HANOVER ST STE 2E",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205451",
            "telephone_number": "508-673-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Taunton Grn",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027803225",
            "country_code": "US",
            "telephone_number": "508-823-6924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "DEIRDRE",
        "middle_name": "MARGARET",
        "credential": "DNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2378659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.