Karina Alexandra Diaz

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

807394 Issued in NY

Practice address

571 Brookhaven Ave
Bellport, NY 11713-1675

Phone

(631) 336-0641

NPI assigned

Oct 7, 2015

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1184094807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 BROOKHAVEN AVE",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131675",
            "telephone_number": "631-336-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 BROOKHAVEN AVE",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131675",
            "telephone_number": "631-336-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "KARINA",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "807394",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "3236371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Deneve, O.D.
• Joan M. Desio, L.C.S.W.
• Anthonette Rosemarie Desire, M.D.
• Nathanael Desire, D.O.
• Danna Jean Diamond, LPN
• Erena Digonis, LCSW
• Anne Dooling, L.C.S.W.
• Walter E. Dornemann, D.D.S.
• Dr James K Yang MD PC
• Peter Robert Drago Sr., LPN

• Registered Nurse in Bellport, NY
• Providers in Bellport, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.