DIANE DICONZO-FANNING (NPI# 1508000589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508000589 |
| Entity Type | Individual |
| Full Name | DIANE DICONZO-FANNING |
| Credential | RN |
| Practice Address |
103 India St Portland ME 04101-4211 |
| Mailing Address |
389 Congress St Room 307 Portland ME 04101-3566 |
| Practice Telephone | 2077568064 |
| Practice Fax Number | 2077568087 |
| Mailing Telephone | 2078748784 |
| Mailing Fax Number | 2078748913 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R033359 | ME | Nursing Service Providers |
| Street Address |
103 INDIA ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881719763 | City of Portland Maine | Clinic/Center | 103 India St, Portland, ME 04101-4211 | 2007-03-20 |
| 1194232819 | Enso, LLC | Clinic/Center | 103 India St, Portland, ME 04101-4211 | 2018-01-03 |
| 1417381724 | Thomas M Hazel | Registered Nurse | 103 India St, Portland, ME 04101-4211 | 2013-08-23 |
| 1013349455 | Michelle A Rudgers | Registered Nurse | 103 India St, Portland, ME 04101-4211 | 2013-08-08 |
| 1740567072 | Myles J Rightmire | Counselor | 103 India St, Portland, ME 04101-4211 | 2011-11-15 |
| 1881908291 | City of Portland Maine | Clinic/Center | 103 India St, Portland, ME 04101-4211 | 2010-07-28 |
| 1073840906 | Leslie H Nicoll | Registered Nurse | 103 India St, Portland, ME 04101-4211 | 2009-11-13 |
| 1437485117 | City of Portland Maine | Allergy & Immunology | 103 India St, Portland, ME 04101-4211 | 2009-10-30 |
| 1205079548 | Yvonne E Jumper | Registered Nurse | 103 India St, Portland, ME 04101-4211 | 2009-04-16 |
| 1114170594 | Katherine L Pressey | Registered Nurse | 103 India St, Portland, ME 04101-4211 | 2008-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1710508635 | Jana Kaye Witherspoon | Registered Nurse | 306 Broadway Blvd, Portland, TX 78374-1301 | 2020-05-01 |
| 1639798655 | Natalie Shaki Assayas | Registered Nurse | 3705 N Overlook Blvd Apt 310, Portland, OR 97227-2036 | 2020-04-09 |
| 1275169229 | Alisa Y Newhall | Registered Nurse | 8303 N Dwight Ave, Portland, OR 97203-3514 | 2020-03-20 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.