Individual provider Active NPI

Diamond Radivoyevich, APRN

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1184245441
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
307455 Issued in AZ
Practice address
5505 W Chandler Blvd Ste 9
Chandler, AZ 85226-3683
Phone
(480) 999-0780
Fax
(855) 631-0136
NPI assigned
Apr 28, 2020
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 9398051-3102 UT
Family Nurse Practitioner 363LF0000X 307455 AZ Primary

Addresses

Primary practice location

5505 W Chandler Blvd Ste 9
Chandler, AZ 85226-3683

Mailing address

861 N Woodburne Dr
Chandler, AZ 85224-3454
Phone (801) 706-8406

Other practice location 1

2330 W University Dr Ste 15
Tempe, AZ 85281-7294
Phone (602) 888-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241030003913 AZ Practitioner - Nurse Practitioner 7113450008 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9398051-3102UTMDDiabetes Educator Registered Nurse
307455AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Nov 1, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Nov 1, 2024 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Phoenix Children's Medical Group CurrentSince Aug 16, 2024 Accepting new patients
Phoenix Children's Hospital CurrentSince Aug 16, 2024 Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2525 E Roosevelt St
Fl 2
Phoenix, AZ 85008

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

Interoperability endpoints

  • Direct secure messaging: dradivoyevich275611@direct.valleywisehealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1184245441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 N WOODBURNE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243454",
            "telephone_number": "801-706-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W CHANDLER BLVD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263683",
            "telephone_number": "480-999-0780",
            "fax_number": "855-631-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 W University Dr Ste 15",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852817294",
            "country_code": "US",
            "telephone_number": "602-888-0155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADIVOYEVICH",
        "first_name": "DIAMOND",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "UT",
            "license": "9398051-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "307455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.