Individual provider Active NPI

Lizbeth Yary Diaz Melendez

  • Family Nurse Practitioner
  • South Daytona, FL
National Provider Identifier
1093626475
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11050692 Issued in FL
Practice address
911 Wells Dr
South Daytona, FL 32119-2550
Phone
(386) 675-7429
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11050692 FL Primary

Addresses

Primary practice location

911 Wells Dr
South Daytona, FL 32119-2550

Mailing address

911 Wells Dr
South Daytona, FL 32119-2550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1093626475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WELLS DR",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WELLS DR",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192550",
            "telephone_number": "386-675-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ MELENDEZ",
        "first_name": "LIZBETH",
        "middle_name": "YARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11050692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.