Active NPI
Daphney Simon-Pascal, REGISTERED NURSE
- Registered Nurse
- Brockton, MA
National Provider Identifier
1841820073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2291933
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN2291933 | MA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concordia Home Care and Nursing Services LLC | Current | Accepting new patients | |
| Conmed Billing and Coding LLC | Current | Accepting new patients | |
| Concordia Health Mobile Lab | Current | 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.
-
- Clinical Medical Laboratory
- Brockton, MA
- NPI 1427702166
-
- Home Health Agency
- Easton, MA
- NPI 1538704200
-
- Home Health Agency
- South Easton, MA
- NPI 1669203428
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.