OrganizationActive
Diane L. Fountas M.D.
NPI 1639378086 · Pediatrics Physician · Waterbury, CT
Diane L. Fountas M.D. is a Pediatrics Physician organization in Waterbury, CT (NPI 1639378086).
Provider details
- NPI number
- 1639378086
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tammy Carrasquillo, Office Manager(203) 753-6776
- License
- 024436 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1389 W Main St
Suite 325
Waterbury, CT 06708-3104
Phone: (203) 753-6776
Street-level locationGet directions
Mailing address
1389 W Main St
Waterbury, CT 06708-3104
Registry dates
- Enumerated
- 2007-07-16
- Last updated
- 2007-07-16
Frequently asked questions
- What is Diane L. Fountas M.D.'s NPI number?
- Diane L. Fountas M.D.'s National Provider Identifier (NPI) is 1639378086, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diane L. Fountas M.D.?
- Diane L. Fountas M.D. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Diane L. Fountas M.D. located?
- Diane L. Fountas M.D.'s practice location on file with NPPES is 1389 W Main St, Waterbury, CT 06708-3104.
- What is Diane L. Fountas M.D.'s phone number?
- The practice phone number listed in the NPPES registry for Diane L. Fountas M.D. is (203) 753-6776.
- Who is the authorized official for Diane L. Fountas M.D.?
- The authorized official listed on Diane L. Fountas M.D.'s NPPES record is Tammy Carrasquillo, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diane L. Fountas M.D.'s NPI active?
- Yes — Diane L. Fountas M.D.'s NPI (1639378086) is active in the NPPES registry as of the last update on 2007-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.