Emilia M Diaz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10002897A Issued in IN

Practice address

1414 E Tipton St
Seymour, IN 47274-3533

Phone

(812) 405-2039

Fax

(812) 405-5039

NPI assigned

Feb 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Emilia M Rodriguez Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: erodriguez504120@direct.franciscanalliance.org

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1205469723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 CHERRY BIRCH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373804",
            "telephone_number": "260-580-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743533",
            "telephone_number": "812-405-2039",
            "fax_number": "812-405-5039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 2nd St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472016705",
            "country_code": "US",
            "telephone_number": "812-342-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "EMILIA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002897",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002897A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erodriguez504120@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "123 2nd St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472016705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILIA",
            "last_name": "RODRIGUEZ",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Deaton, RBT
• Ma Rosario S Dejesus
• Stacy Christine Denisiuk, NURSE PRACTITIONER
• Chance Densford, PHARMD
• Victoria R Denz-Wilson, DO
• Amanda Marie Dick, M.D.
• Andrew Edwin Dick, M.D.
• Gregory Dickman, LPN
• Emily Dillman
• Presley Dmitriev

• Physician Assistant in Seymour, IN
• Providers in Seymour, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.