Diana Isabel Clavijo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11030622 Issued in FL

Practice address

1170 SW Bayshore Blvd Ste 100
Port St Lucie, FL 34983-2408

Phone

(772) 309-0030

Fax

(855) 538-2084

NPI assigned

Feb 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diana.clavijo.1@25403.direct.athenahealth.com

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.

• Nova Medical Services - Wound Care Division LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1578145793
  Medicare reassignment NPD
• Primary Care Solutions & More LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Stuart, FL
  • NPI 1659037562
  Medicare reassignment NPD

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

• Altercare of Palm Beach County LLC

  • Home Health Agency
  • Port St Lucie, FL
  • NPI 1831365253
  Care Compare affiliation

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1003671629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 SW BAYSHORE BLVD STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832408",
            "telephone_number": "772-309-0030",
            "fax_number": "855-538-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 SW BAYSHORE BLVD STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832408",
            "telephone_number": "772-309-0030",
            "fax_number": "855-538-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVIJO",
        "first_name": "DIANA",
        "middle_name": "ISABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soline Clairvoyant
• Jessica Lynn Clark, MA/CAGS
• Jordan Shaye Clark, DC
• Robert H Clarke II, COTA/L
• Vivette Clarke
• Sarah Clay, CNM
• Stacey Cleary
• Christina Raffa Clements
• Tinya C Clements, APRN
• Cliffena Cares Inc.

• Family Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.