Active NPI
Diane K Freedman, RN
- Psychiatric/Mental Health Registered Nurse
- Lynn, MA
National Provider Identifier
1932269487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 130352
- Practice address
- 30 Boston St
North Shore Medical Center
Lynn, MA 01904 - Phone
- (781) 599-3109
- Fax
- (781) 599-3162
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 130352 | MA | Primary |
Addresses
Primary practice location
30 Boston St
North Shore Medical Center
Lynn, MA 01904
Mailing address
11 Sunset Drive
Peabody, MA 01960
Phone (978) 532-4384
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130352 | MA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932269487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SUNSET DRIVE",
"city": "PEABODY",
"state": "MA",
"postal_code": "01960",
"telephone_number": "978-532-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BOSTON ST",
"address_2": "NORTH SHORE MEDICAL CENTER",
"city": "LYNN",
"state": "MA",
"postal_code": "01904",
"telephone_number": "781-599-3109",
"fax_number": "781-599-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "DIANE",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MA",
"license": "130352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.