Individual provider Active NPI

Dian Joan Cullion, PA-C

  • Medical Physician Assistant
  • Johnston, RI
National Provider Identifier
1972551489
Registry record updated Dec 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00100 Issued in RI
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080319000657 RI Practitioner - Physician Assistant 3779535869 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Community Action, Inc. CurrentSince Mar 31, 2019 Accepting new patients
Comprehensive Community Action, Inc CurrentSince Mar 31, 2019 Accepting new patients
Shawn a Howland MD PastSince Sep 1, 2020 Accepting new patients
Blackstone Valley Community Health Care, Inc. Past Accepting new patients
Atmed Primary Care Inc. PastSince Jan 1, 1990 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.

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

Verify at the official NPI Registry.