Angelica Diaz, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144942 Issued in TX

Practice address

4710 Bellaire Blvd Ste 340
Bellaire, TX 77401-4530

Phone

(713) 860-1755

NPI assigned

Sep 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

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.

• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Dallas, TX
  • NPI 1811299944
  Medicare reassignment Care Compare group NPD
• Innovative Infusions, LLC

  • Infusion Therapy Clinic/Center
  • Indianapolis, IN
  • NPI 1093512246
  NPD

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1073154209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14207 REDBUD VALLEY TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622156",
            "telephone_number": "281-630-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD STE 340",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014530",
            "telephone_number": "713-860-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6621 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302358",
            "country_code": "US",
            "telephone_number": "832-824-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANGELICA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144942",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "887268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derm Surgery Associates P.a.
• Diana E Desai, MD
• Allen Deutsch, MD
• Faizmeen Pirali Dhuka, MSN, APRN, FNP-C
• Dialyspa VI LLC
• Mark Douglas Dickens, D.D.S
• Chris E Dieter, CO, LO
• Joyce T Diggles-Savory, DDS
• McKenzie Dileo, MD
• Molly Dimola, FNP

• Family Nurse Practitioner in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.