Maria Linda Diestro, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

451821 Issued in TX

Practice address

2548 Memorial Blvd
Port Arthur, TX 77640-2825

Phone

(409) 983-1161

Fax

(409) 983-4933

NPI assigned

Jul 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Health Center IncGroup PAC ID 5597675215, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gulf Coast Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1912904897

  TX

  Medicare reassignment Care Compare group NPD
• Gulf Coast Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1578287389
  Care Compare group NPD
• Gulf Coast Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Silsbee, TX
  • NPI 1225036932
  Care Compare group NPD (past)
• Gulf Coast Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Orange, TX
  • NPI 1508864216
  Care Compare group
• Gulf Coast Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Jasper, TX
  • NPI 1639176324
  Care Compare group
• Gulf Coast Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1205275054
  Care Compare group
• Gulf Coast Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1285354746
  Care Compare group
• Gulf Coast Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Port Arthur, TX
  • NPI 1609596493
  Care Compare group
• Emergency Health Services Associates, P.a.

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1225088479
  NPD (past)
• Texas Em-I Medical Services, PA

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1548336332

  Nurse Practitioner

  NPD (past)

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

• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187

  Hospital

  Care Compare affiliation
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1013916634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402825",
            "telephone_number": "409-983-1161",
            "fax_number": "409-983-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402825",
            "telephone_number": "409-983-1161",
            "fax_number": "409-983-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESTRO",
        "first_name": "MARIA",
        "middle_name": "LINDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "451821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126826002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Developmental Disabilities Management Services of Beaumont, LLC
• Developmental Disabilities Management Services of Beaumont, LLC
• Diagnostic Health Centers of Texas Limited Partnership
• Dick Barlow Mdpa
• Anthony Diehl
• Doctor'S Home Health
• Stephanie Rae Dodson, MS, RD, LD
• Michael Jack Doiron, MD
• Donald P. Long, M.D., P.a.
• Linda Lee Douglass, FNP

• All providers in Port Arthur, TX
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.