Active NPI
Dian Joan Cullion, PA-C
- Medical Physician Assistant
- Johnston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA00100
- Practice address
- 1524 Atwood Ave Ste 322
Johnston, RI 02919-3228 - Phone
- (508) 340-1579
- Fax
- (774) 565-0469
- NPI assigned
- May 5, 2006
- Last updated
- Dec 6, 2020
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00100 | RI | Primary |
Addresses
Primary practice location
1524 Atwood Ave Ste 322
Johnston, RI 02919-3228
Mailing address
881 Greenwich Ave Unit 30
Warwick, RI 02886-1870
Phone (401) 295-5982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Community Action, Inc. | Current | Accepting new patients | |
| Comprehensive Community Action, Inc | Current | Accepting new patients | |
| Shawn a Howland MD | Past | Accepting new patients | |
| Blackstone Valley Community Health Care, Inc. | Past | Accepting new patients | |
| Atmed Primary Care Inc. | Past | Accepting new patients |
Locations
1090 Cranston St
Cranston, RI 02920
Phone (401) 467-9610
311 Doric Ave
Cranston, RI 02910
Phone (401) 467-9610
2756 Post Rd
Ste 103
Warwick, RI 02886
Phone (401) 384-6007
Organizations & group practices 6
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.
-
dba Family Health Services
- Federally Qualified Health Center (FQHC)
- Cranston, RI
- NPI 1366441719
-
dba Groups Recover Together
- Adult Mental Health Clinic/Center
- London, KY
- NPI 1346736758
RI
-
- Federally Qualified Health Center (FQHC)
- Cranston, RI
- NPI 1659845451
-
- Non-Pharmacy Dispensing Site
- Johnston, RI
- NPI 1417099797
-
- Federally Qualified Health Center (FQHC)
- Central Falls, RI
- NPI 1275847766
-
dba Oceanside Physician Services
- Addiction Medicine (Preventive Medicine) Physician
- Providence, RI
- NPI 1265065866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607212800000",
"number": "1972551489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "881 GREENWICH AVE UNIT 30",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861870",
"telephone_number": "401-295-5982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE STE 322",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193228",
"telephone_number": "508-340-1579",
"fax_number": "774-565-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLION",
"first_name": "DIAN",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2020-12-06",
"certification_date": "2020-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "RI",
"license": "PA00100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; 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.