Jessica Diaz

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

5550 Corbett Dr Unit C16
Fort Collins, CO 80528-3102

Phone

(732) 771-5703

NPI assigned

Nov 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1205601341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 CORBETT DR UNIT C16",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 CORBETT DR UNIT C16",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283102",
            "telephone_number": "732-771-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry L Dezeeuw, ATC
• DGH Therapy LLC
• Fabiana Di Camillo, MA
• Carole A Diamond, MSN, PMHNP-BC, FNP-C
• Pedro Felix Diaz Ramos, LCSW
• Matthew Sostenes Diaz
• Uriel Alexxis Diaz
• Xiomara I Diaz, B.SC.P.T.
• Amey Dice
• Cassandra Dick, RN

• Optician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Optician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.