Individual provider Active NPI

Natalia Shellliza Diaz, MSN RN AGNP-C

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1174876759
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ15560500 Issued in NJ
Practice address
213 Washington Ave
Brooklyn, NY 11205-3702
Phone
(917) 407-6790
NPI assigned
Oct 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 312765-01 NY
Registered Nurse 163W00000X 26NR16361200 NJ
Registered Nurse 163W00000X 663077 NY
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 26NJ15560500 NJ Primary

Addresses

Primary practice location

213 Washington Ave
Brooklyn, NY 11205-3702

Mailing address

600 Abbott Ave
Ridgefield, NJ 07657-1706
Phone (917) 407-6790

Other practice location 1

459 Passaic Ave
West Caldwell, NJ 07006-7457
Phone (973) 276-6700

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 Abbott Ave
Ridgefield, NJ 07657-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR16361200NJMDRegistered Nurse
663077NYMDRegistered Nurse
26NJ15560500NJMDAdult Health Nurse Practitioner
312765-01NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1174876759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ABBOTT AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571706",
            "telephone_number": "917-407-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WASHINGTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053702",
            "telephone_number": "917-407-6790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Passaic Ave",
            "address_purpose": "LOCATION",
            "city": "West Caldwell",
            "state": "NJ",
            "postal_code": "070067457",
            "country_code": "US",
            "telephone_number": "973-276-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "NATALIA",
        "middle_name": "SHELLLIZA",
        "name_prefix": "Mrs.",
        "credential": "MSN RN AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312765-01",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16361200",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "663077",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ15560500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.