Individual provider Active NPI

Daphney Simon-Pascal, REGISTERED NURSE

  • Registered Nurse
  • Brockton, MA
National Provider Identifier
1841820073
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2291933 Issued in MA
Practice address
20 Howland St
Brockton, MA 02302-2855
Phone
(781) 588-0687
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN2291933 MA
Home Health Registered Nurse 163WH0200X RN2291933 MA
Case Manager/Care Coordinator 171M00000X
Registered Nurse 163W00000X RN2291933 MA Primary

Addresses

Primary practice location

20 Howland St
Brockton, MA 02302-2855

Mailing address

20 Howland St
Brockton, MA 02302-2855
Phone (781) 588-0687

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

State licenses

LicenseStateTypeSpecialty
RN2291933MAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Home Care and Nursing Services LLC CurrentSince Jan 26, 2020 Accepting new patients
Conmed Billing and Coding LLC Current Accepting new patients
Concordia Health Mobile Lab CurrentSince Feb 13, 2022 Accepting new patients

Organizations & group practices 3

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1841820073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOWLAND ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022855",
            "telephone_number": "781-588-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOWLAND ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022855",
            "telephone_number": "781-588-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON-PASCAL",
        "first_name": "DAPHNEY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN2291933",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN2291933",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2291933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.