Active NPI
Natalia Shellliza Diaz, MSN RN AGNP-C
- Adult Health Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1174876759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ15560500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 312765-01 | NY | |
| Registered Nurse | 163W00000X | 26NR16361200 | NJ | |
| Registered Nurse | 163W00000X | 663077 | NY | |
| Adult Health Nurse Practitioner | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR16361200 | NJ | MD | Registered Nurse |
| 663077 | NY | MD | Registered Nurse |
| 26NJ15560500 | NJ | MD | Adult Health Nurse Practitioner |
| 312765-01 | NY | MD | Adult 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.