NPI Code Detail JSON Logo

1790014884 NPI number — DIANA LEAH RICITELLI APRN

NPI Number: 1790014884
Health Care Provider/Practitioner: DIANA LEAH RICITELLI APRN

Information about “1790014884” NPI (DIANA LEAH RICITELLI APRN) exists in 1790014884 in HTML format HTML  |  1790014884 in plain Text format TXT  |  1790014884 in PDF (Portable Document Format) PDF  |  1790014884 in an XML format XML  formats.

NPI Number : 1790014884 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790014884",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICITELLI",
    "FirstName": "DIANA",
    "MiddleName": "LEAH",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "124 CANOE BROOK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TRUMBULL",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06611-2146",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-330-6000",
    "MailingAddressFaxNumber": "203-330-6008",
    "FirstLinePracticeLocationAddress": "215 STRATTON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RUTLAND",
    "PracticeLocationAddressStateName": "VT",
    "PracticeLocationAddressPostalCode": "05701-4621",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "802-773-3386",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/18/2009",
    "LastUpdateDate": "03/19/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "RN2378183",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "112637-23",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "CNP241624",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "101.0114661",
          "LicenseNumberStateCode": "VT",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "004180",
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "APRN-CNP82939",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "SP032053",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "37586",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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