DIANE F CLINTON APRN BC NPI 1659408235

NPI Information

NPI: 1659408235
Provider Name: DIANE F CLINTON, APRN, BC
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
130 MARSHALL RD
LOWELL, MA
ZIP 01852
Phone: (978) 671-9160
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Diane F Clinton, APRN, BC is a psychiatric/mental health clinical nurse specialist in Lowell, MA. Diane F Clinton, APRN, BC NPI is 1659408235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 MARSHALL RD
LOWELL, MA
ZIP 01852-130
Phone: (978) 671-9160

The NPI 1659408235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 6/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	RN137269	MASSACHUSETTS	Yes
2	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	137269	MASSACHUSETTS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7670192	OTHER	MASSACHUSETTS	AETNA PROVIDER NETWORK
2	PN0164	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHEILD
3	148070000	OTHER	MASSACHUSETTS	MAGELLAN
4	286539	OTHER	MASSACHUSETTS	PACIFICARE BEHAVIORAL HEA
5	003849	OTHER	MASSACHUSETTS	HARVARD PILGRIM HEALTH CA
6	711959	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
7	S71392	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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