MR. DAYANA NANDA LAXSHMAN SIRIWARDHANA


Address: 480 Hawthorn St, North Dartmouth, MA 02747-3729
Phone: 5089739150

MR. DAYANA NANDA LAXSHMAN SIRIWARDHANA (NPI# 1992251078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992251078
Entity Type Individual
Full Name MR. DAYANA NANDA LAXSHMAN SIRIWARDHANA
Credential MSN,MBA,AGACNP,CNRN
Practice Address 480 Hawthorn St
North Dartmouth
MA 02747-3729
Mailing Address 200 Mill Road
Suite 180
Fairhaven
MA 02719-5252
Practice Telephone 5089739150
Practice Fax Number 5089731955
Mailing Telephone 5089732000
Mailing Fax Number 5089732001
Enumeration Date 2016-08-29
Last Update Date 2020-04-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 4704273949 MI Nursing Service Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
RN2314835 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 480 HAWTHORN ST
City NORTH DARTMOUTH
State MA
Zip Code 02747-3729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356902761 Jessica Lynn Keough Nurse Practitioner 480 Hawthorn St, North Dartmouth, MA 02747-3729 2019-06-26
1144766312 Arielle Spadea Nurse Practitioner 480 Hawthorn St, North Dartmouth, MA 02747-3729 2017-01-12
1396104956 Tina L Howe Nurse Practitioner 480 Hawthorn St, North Dartmouth, MA 02747-3729 2016-02-11
1407234131 Katelyn Oliveira Psychiatry & Neurology 480 Hawthorn St, North Dartmouth, MA 02747-3729 2015-05-14
1013312396 Matthew Viglianti Physician Assistant 480 Hawthorn St, North Dartmouth, MA 02747-3729 2014-10-28
1407262694 Praneetha Arge Psychiatry & Neurology 480 Hawthorn St, North Dartmouth, MA 02747-3729 2014-07-08
1669897823 John Joseph Mullen IIi Specialist/Technologist 480 Hawthorn St, Brain and Spine Center, North Dartmouth, MA 02747-3713 2014-02-25
1063751923 Selena Marie Machia Physician Assistant 480 Hawthorn St, North Dartmouth, MA 02747-3729 2013-02-12
1427392034 Michael James Carr Nurse Practitioner 480 Hawthorn St, Southcoast Physicians Group, Inc., North Dartmouth, MA 02747-3713 2012-11-20
1053662833 Lori Anne Oliver Nurse Practitioner 480 Hawthorn St, North Dartmouth, MA 02747-3729 2012-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619432531 Michelle Mulvey-sylvia Nurse Practitioner 237 State Road, Dartmouth, MA 02747 2019-02-05
1679078232 Andrew Paul Macedo Emergency Medical Technician, Basic 80 Alpha Street, Dartmouth, MA 02747 2018-03-27
1255712378 Courtney Mota Trevino Optometrist 83b Faunce Corner Rd, North Dartmouth, MA 02747 2015-06-15
1215323852 Kara J. Kopaczewski Family Medicine 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 2015-04-10
1427465368 Glicksman-gomes, LLC Dentist 49 State Road Nauset Bldg., Dartmouth, MA 02747 2014-07-11
1033544846 Blackstone Behavioral Health Services Psychologist 145k Faunce Corner Rd., North Dartmouth, MA 02747 2013-09-11
1477999894 Christina Nicolau Counselor 145k Faunce Corner Road, North Dartmouth, MA 02747 2013-05-13
1770823882 Wendy Stacy Behavioral Analyst 145 Fauce Corner Rd., N. Dartmouth, MA 02747 2013-02-26
1952653131 Eye Health Associates Inc Optometrist 51 State Road, Dartmouth, MA 02747 2012-10-11
1265782866 Helpful Hands, Inc Home Health 106a State Rd, N Dartmouth, MA 02747 2012-09-12
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396258075 Justina Marie Griffin Nurse Practitioner 300b Faunce Corner Rd, North Dartmouth, MA 02747-1257 2017-11-16
1801146998 Andrew Joseph Hachey Nurse Practitioner 400 Faunce Corner Rd, North Dartmouth, MA 02747-1275 2012-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386244770 Paul Thomas Bruemmer Nurse Practitioner 23 Captain Curtis Way, Orleans, MA 02653-2601 2020-10-27
1962001693 Joseph Prendergast Nurse Practitioner 5 Jasmine Rd, Oxford, MA 01540-3304 2020-10-23
1669071601 Katherine Parrott Nurse Practitioner 95 Prince St Apt 8, Boston, MA 02113-1738 2020-10-21
1154928687 Mary A Hodgerney Nurse Practitioner 3 Johnny Cake Rd, Centerville, MA 02632-2446 2020-10-07
1083221659 Alexis Casimir Nurse Practitioner 495 Varnum Ave, Lowell, MA 01854-2123 2020-09-28
1760009476 Rohit Prakash Shah Nurse Practitioner 1884 River St, Hyde Park, MA 02136-1419 2020-06-29
1790307825 Erin Anne Hennigan Nurse Practitioner 54 Payson St, Attleboro, MA 02703-1612 2020-05-12
1639712060 Elizabeth Gina Hayden Nurse Practitioner 330 Brookline Ave # Baker304, Boston, MA 02215-5400 2019-10-17
1477107910 Deanna Louise Benjamin Nurse Practitioner Harvard Rd, Shirley, MA 01464 2019-08-01
1295397545 Sandy Love Hunt Nurse Practitioner 994 Middle St, Weymouth, MA 02188-3957 2019-07-07
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Competitor

Search similar providers

City NORTH DARTMOUTH
Zip Code 02747

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Dataset Information

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.

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