Individual provider Active NPI

Laura Diaz, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1124828488
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11038232 Issued in FL
Practice address
13190 SW 134TH St Ste 106
Miami, FL 33186-4496
Phone
(786) 209-0023
Fax
(305) 463-1326
NPI assigned
Mar 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11038232 FL Primary

Addresses

Primary practice location

13190 SW 134TH St Ste 106
Miami, FL 33186-4496

Mailing address

11125 SW 243Rd St
Homestead, FL 33032-5148
Phone (786) 222-9194

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250507001390 FL Practitioner - Nurse Practitioner 0547781056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5220 S University Dr
Suite 204C
Davie, FL 33328-5308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11038232FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Balance Health Center LLC Psychiatric/Mental Health CurrentSince Feb 1, 2025 Accepting new patients
JMS Wellness Within LLC Psychiatric/Mental Health CurrentSince Sep 6, 2025 Accepting new patients
Mental Autonomy Inc CurrentSince Jan 29, 2026 Accepting new patients
Mental Autonomy, Inc. CurrentSince Jan 29, 2026 Accepting new patients

Locations

13190 SW 134th St
Ste 106
Miami, FL 33186
Phone (786) 209-0023

17325 NW 27th Ave
Ste 105
Miami Gardens, FL 33056
Phone (305) 342-9421

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1124828488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 SW 243RD ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325148",
            "telephone_number": "786-222-9194",
            "fax_number": "305-463-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 SW 134TH ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864496",
            "telephone_number": "786-209-0023",
            "fax_number": "305-463-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LAURA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11038232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.