Diane Proodian, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

130443 Issued in MA

Practice address

330 Brookline Ave
Anesthesia Feldberg 407
Boston, MA 02215-5400

Phone

(617) 754-3375

Fax

(617) 754-3380

NPI assigned

Jun 26, 2008

Last updated

Feb 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1821250242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BIDMC",
            "address_2": "THORACIC SURGERY 185 PILGRIM RD, DEACONESS 201",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-632-8252",
            "fax_number": "617-632-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "ANESTHESIA FELDBERG 407",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-754-3375",
            "fax_number": "617-754-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROODIAN",
        "first_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "130443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Outpatient
• Andrea Profeta
• Albert J Proia, FNP
• Jennifer Meade Proietti, NP
• Maria C Prom de Illanes, MD
• Kierra Prophet
• Edith Prophete
• Stacy Prosowski, STACY PROSOWSKI
• Vanessa Prosper, PH.D
• Glen T Prospere

• Adult Health Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.