Active NPI
Yedelis Diaz, NP
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1114255270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11005945
- Practice address
- 8870 SW 40TH St Ste 4
Miami, FL 33165-5465 - Phone
- (786) 427-9877
- NPI assigned
- Dec 1, 2009
- Reactivated
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11005945 | FL | Primary |
| Hearing Instrument Specialist | 237700000X | AS 4392 | FL |
Addresses
Primary practice location
8870 SW 40TH St Ste 4
Miami, FL 33165-5465
Mailing address
8750 SW 41St St
Miami, FL 33165-5433
Phone (786) 427-9877
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS 4392 | FL | MD | Hearing Instrument Specialist |
| APRN11005945 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1114255270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8750 SW 41ST ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331655433",
"telephone_number": "786-427-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8870 SW 40TH ST STE 4",
"city": "MIAMI",
"state": "FL",
"postal_code": "331655465",
"telephone_number": "786-427-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "YEDELIS",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"deactivation_date": "2021-06-04",
"reactivation_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11005945",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS 4392",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.