NPIMap

Individual provider Active NPI

Latoya Diaz

  • Nurse Practitioner
  • Keystone Heights, FL
National Provider Identifier
1003238916
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11034769 Issued in FL
Practice address
100 Commercial Dr
Keystone Heights, FL 32656-6802
Phone
(352) 473-6595
Fax
(352) 473-6597
NPI assigned
Jan 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN9322582 FL
Nurse Practitioner 363L00000X APRN11034769 FL Primary

Addresses

Primary practice location

100 Commercial Dr
Keystone Heights, FL 32656-6802

Mailing address

149 NW 166TH Ter
Newberry, FL 32669-6109
Phone (352) 474-1891

Other practice location 1

28024 SW 88th Ave
Newberry, FL 32669-6356
Phone (352) 354-1057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219004156 FL Practitioner - Nurse Practitioner 5193252765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Rural Health Care Incorporated 29 clinicians
Lake Area Physical Therapy Inc. 372 clinicians

Practice addresses (Care Compare)

100 Commercial Dr
Keystone Heights, FL 32656-6802
Phone (352) 473-6595

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

  • Legacy Home Health Care Inc Home health agency, Keystone Heights, FL, CCN 687027
  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9322582FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Care Incorporated Current Accepting new patients
Rural Health Care, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Rural Health Care Incorporated CurrentSince Sep 23, 2024 Accepting new patients

Locations

1213 State Road 20
Interlachen, FL 32148
Phone (386) 684-2407

100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

Interoperability endpoints

  • Direct secure messaging: latoya.diaz.p1@direct.azahealth.nextgenshare.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1003238916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 NW 166TH TER",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326696109",
            "telephone_number": "352-474-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMERCIAL DR",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326566802",
            "telephone_number": "352-473-6595",
            "fax_number": "352-473-6597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28024 SW 88th Ave",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "FL",
            "postal_code": "326696356",
            "country_code": "US",
            "telephone_number": "352-354-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LATOYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-11",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9322582",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11034769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keystone Heights, FL

Sources for this page

Verify at the official NPI Registry.