Individual provider Active NPI

Dianna Jayne Soucier-Tagliavini, DNP, FNP-BC

  • Family Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1891357174
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8341 Issued in CT
Practice address
11 South Road
Farmington, CT 06032-2483
Phone
(860) 679-4477
Fax
(860) 679-0354
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8341 CT Primary
School Nurse Practitioner 363LS0200X 112132 CT

Addresses

Primary practice location

11 South Road
Farmington, CT 06032-2483

Mailing address

263 Farmington Avenue
Farmington, CT 06030-2483
Phone (860) 679-4477

Other practice location 1

1279 W Main St
Waterbury, CT 06708-3101
Phone (203) 755-5490

Other practice location 2

263 Farmington Avenue
Farmington, CT 06030-2483
Phone (860) 679-4477

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsouciertagliavini71253@direct.med.uchc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190923000864 CT Practitioner - Nurse Practitioner 4981934742 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11 S Rd
Farmington, CT 06032-2483
Phone (860) 679-3343

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112132CTMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Sep 8, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 1, 2021 Accepting new patients
Yale University CurrentSince Oct 29, 2020 Accepting new patients
Yale University CurrentSince Oct 29, 2020 Accepting new patients
University of Connecticut Health Center CurrentSince Sep 8, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 1, 2021 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

11 South Rd
Farmington, CT 06032
Phone (860) 522-7121

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

Interoperability endpoints

  • Direct secure messaging: dsouciertagliavini71253@direct.med.uchc.edu

Organizations & group practices 7

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1891357174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302483",
            "telephone_number": "860-679-4477",
            "fax_number": "860-679-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOUTH ROAD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322483",
            "telephone_number": "860-679-4477",
            "fax_number": "860-679-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1279 W Main St",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067083101",
            "country_code": "US",
            "telephone_number": "203-755-5490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Avenue",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060302483",
            "country_code": "US",
            "telephone_number": "860-679-4477",
            "fax_number": "860-679-0354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUCIER-TAGLIAVINI",
        "first_name": "DIANNA",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8341",
            "primary": true
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "CT",
            "license": "112132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsouciertagliavini71253@direct.med.uchc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060302483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.