Diane Mulcahy, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

138592 Issued in MA

Practice address

145 Faunce Corner Mall Road
Dermatology Services Inc
No Dartmouth, MA 02747

Phone

(508) 993-7601

Fax

(508) 997-0523

NPI assigned

Mar 19, 2007

Last updated

Dec 20, 2022By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dermatology Services Inc

  • Dermatology Physician
  • North Dartmouth, MA
  • NPI 1659483956
  Medicare reassignment NPD
• Dermatology Services ND

  • Dermatology Physician
  • S Dartmouth, MA
  • NPI 1104217686
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1881718526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 FAUNCE CORNER MALL ROAD",
            "address_2": "DERMATOLOGY SERVICES INC",
            "city": "NO DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-993-7601",
            "fax_number": "508-997-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FAUNCE CORNER MALL ROAD",
            "address_2": "DERMATOLOGY SERVICES INC",
            "city": "NO DARTMOUTH",
            "state": "MA",
            "postal_code": "02747",
            "telephone_number": "508-993-7601",
            "fax_number": "508-997-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULCAHY",
        "first_name": "DIANE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-12-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "138592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J Botelho, MD
• Rosemary Constant-Kay, MA HIS. #207

• Nurse Practitioner in No Dartmouth, MA
• Providers in No Dartmouth, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.