DIANE L. FOUNTAS M.D.
NPI 1639378086
Pediatrics in Waterbury, CT

Active since July 16, 2007
1389 W MAIN ST, SUITE 325, WATERBURY, CT 06708(203) 753-6776 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diane L. Fountas M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE L. FOUNTAS M.D. (NPI 1639378086) is a healthcare organization registered as a pediatrics in Waterbury, Connecticut and active in the NPI registry since July 2007. The organization lists Tammy Carrasquillo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639378086
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDIANE L. FOUNTAS M.D.
Location Address1389 W MAIN ST, SUITE 325Waterbury, CT 06708-3104
Mailing Address1389 W Main St, Suite 325Waterbury, CT 06708-3104 · (203) 753-6776
Organization SubpartNo
Authorized OfficialTammy CarrasquilloOffice Manager · (203) 753-6776
Enumeration DateJuly 16, 2007
NPI 1639378086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CT · 024436
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1389 W MAIN ST, Waterbury, CT 06708

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1389 W MAIN ST, TOWER 2, SUITE 320
WATERBURY, CT 06708
Occupational Therapist (Pediatrics)
1389 W MAIN ST
WATERBURY, CT 06708
Dentist (Oral and Maxillofacial Surgery)
1389 W MAIN ST, SUITE 320
WATERBURY, CT 06708
Dentist (Endodontics)
1389 W MAIN ST, SUITE 208
WATERBURY, CT 06708
Speech-Language Pathologist
1389 W MAIN ST
WATERBURY, CT 06708
Physician Assistant (Medical)
1389 W MAIN ST, SUITE120
WATERBURY, CT 06708
Speech-Language Pathologist
1389 W MAIN ST
WATERBURY, CT 06708
Radiology (Diagnostic Radiology)
1389 W MAIN ST
WATERBURY, CT 06708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane L. Fountas M.D.'s NPI number?

The NPI number for Diane L. Fountas M.D. is 1639378086. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Diane L. Fountas M.D. located?

Diane L. Fountas M.D. is located at 1389 W Main St Suite 325, Waterbury, CT 06708. The listed phone number is (203) 753-6776.

What is Diane L. Fountas M.D.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Diane L. Fountas M.D. was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.