Individual provider Active NPI

Diana Lebron, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Miami, FL
National Provider Identifier
1205916608
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
ME156657 Issued in FL
Practice address
1695 NW 110TH Ave Ste 317
Miami, FL 33172-1930
Phone
(305) 671-3654
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X ME156657 FL Primary

Addresses

Primary practice location

1695 NW 110TH Ave Ste 317
Miami, FL 33172-1930

Mailing address

1695 NW 110TH Ave Ste 317
Miami, FL 33172-1930
Phone (305) 671-3654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000408 TX Practitioner - Pediatric MedicinePractitioner - Neurology 2567422728 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME156657FLMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Amarillo Current Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Nov 30, 2023 Accepting new patients
Texas Tech University Health Sciences Center Amarillo Pediatrics CurrentSince Mar 9, 2016 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Nov 30, 2023 Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Mar 9, 2016 Accepting new patients
Texas Tech Univeristy Health Sciences Center Lubbock Current Accepting new patients
Texas Tech University Health Sciences Center Amarillo Current Accepting new patients
Texas Tech University Health Sciences Center Amarillo Current Accepting new patients
Wemind Institute P.a, PastSince Nov 12, 2023 Accepting new patients
Texas Children'S Physician Group Pediatrics Past Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Pediatrics Past Accepting new patients

Locations

17 Care Cir
#100
Amarillo, TX 79124
Phone (432) 570-5693

1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600

1400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 354-5585

7000 Calmont Ave
Ste 150
Fort Worth, TX 76116
Phone (682) 885-6163

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: dianalebron@texastech.allscriptsdirect.net
  • Direct secure messaging: dlebron91604@cookchildrens.direct-ci.com

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1205916608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 NW 110TH AVE STE 317",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331721930",
            "telephone_number": "305-671-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 NW 110TH AVE STE 317",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331721930",
            "telephone_number": "305-671-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRON",
        "first_name": "DIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "ME156657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.