Individual provider Active NPI

Sureya Elias Diaz

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1144471186
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5818 Mohr Loop
Tampa, FL 33615-3108
Phone
(813) 251-5290
Fax
(813) 251-5672
NPI assigned
Oct 8, 2008
Last updated
Nov 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA54107 FL
Behavior Technician 106S00000X FL Primary

Addresses

Primary practice location

5818 Mohr Loop
Tampa, FL 33615-3108

Mailing address

5818 Mohr Loop
Tampa, FL 33615-3108
Phone (813) 251-5290

Other practice location 1

2114 W Columbus Dr
Tampa, FL 33607-1640
Phone (813) 251-5290

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

State licenses

LicenseStateTypeSpecialty
MA54107FLMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1144471186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5818 MOHR LOOP",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153108",
            "telephone_number": "813-251-5290",
            "fax_number": "813-251-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5818 MOHR LOOP",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153108",
            "telephone_number": "813-251-5290",
            "fax_number": "813-251-5672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2114 W Columbus Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336071640",
            "country_code": "US",
            "telephone_number": "813-251-5290",
            "fax_number": "813-251-5672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "SUREYA",
        "middle_name": "ELIAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA54107",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.