Individual provider Active NPI

Diane Horan

  • Adult Health Nurse Practitioner
  • East Bridgewater, MA
National Provider Identifier
1992787220
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
160529 Issued in MA
Practice address
1 Compass Way Ste 208
East Bridgewater, MA 02333-1464
Phone
(508) 350-2222
Fax
(508) 350-2316
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 160529 MA Primary

Addresses

Primary practice location

1 Compass Way Ste 208
East Bridgewater, MA 02333-1464

Mailing address

362 N Bedford St
East Bridgewater, MA 02333-1148
Phone (508) 350-2222

Other practice location 1

72 Washington St
Suite 2600
Taunton, MA 02780-2491
Phone (508) 824-5865

Other identifiers 1

IdentifierTypeStateIssuer
S400369193OtherMAMEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041207001083 MA Practitioner - Nurse Practitioner 9830155225 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

91 Washington St
Unit 301
Taunton, MA 02780-7404
Phone (508) 824-5865

Hospital & facility affiliations

  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
160529MAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Feb 20, 2017 Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Jan 1, 2025 Accepting new patients
Compass Medical PC Past Accepting new patients

Locations

1 Compass Way
Ste 208
East Bridgewater, MA 02333
Phone (508) 350-2222

362 N Bedford St
East Bridgewtr, MA 02333
Phone (508) 350-2350

70 Walnut St
Foxborough, MA 02035
Phone (508) 543-6371

8 Commerce Blvd
Middleboro, MA 02346
Phone (774) 260-9300

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

21 Bristol Dr
Ste 100
South Easton, MA 02375
Phone (508) 565-7100

21 Bristol Dr
Ste 101
South Easton, MA 02375
Phone (508) 565-7300

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

91 Washington St
Unit 301
Taunton, MA 02780
Phone (508) 822-5365

Organizations & group practices 4

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 1

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1992787220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 N BEDFORD ST",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331148",
            "telephone_number": "508-350-2222",
            "fax_number": "508-350-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMPASS WAY STE 208",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331464",
            "telephone_number": "508-350-2222",
            "fax_number": "508-350-2316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Washington St",
            "address_2": "SUITE 2600",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027802491",
            "country_code": "US",
            "telephone_number": "508-824-5865",
            "fax_number": "508-823-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORAN",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "160529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "S400369193",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.