Individual provider Active NPI

Yanet Fernandez Diaz, PMHNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1215653589
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020420 Issued in FL
Practice address
3105 W Waters Ave Ste 102
Tampa, FL 33614-2869
Phone
(813) 269-2920
Fax
(813) 269-2921
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11020420 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11020420 FL

Addresses

Primary practice location

3105 W Waters Ave Ste 102
Tampa, FL 33614-2869

Mailing address

3105 W Waters Ave Ste 102
Tampa, FL 33614-2869
Phone (813) 269-2920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240111002651 FL Practitioner - Nurse Practitioner 5496106619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa Bay Mental Health, LLCGroup PAC ID 4981094620, 2 clinicians

Practice addresses (Care Compare)

3105 W Waters Ave
Suite 102
Tampa, FL 33614-2869
Phone (813) 269-2920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Mental Health, LLC CurrentSince Nov 1, 2023 Accepting new patients
Behavioral Collaborative Care Solutions, LLC PastSince Oct 1, 2022 Accepting new patients

Locations

6916 W Linebaugh Ave
Ste 102
Tampa, FL 33625
Phone (813) 265-0210

3105 W Waters Ave
Ste 102
Tampa, FL 33614
Phone (813) 269-2920

3105 W Waters Ave
Ste 212
Tampa, FL 33614
Phone (813) 269-2920

Organizations & group practices 2

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1215653589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142869",
            "telephone_number": "813-269-2920",
            "fax_number": "813-269-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W WATERS AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142869",
            "telephone_number": "813-269-2920",
            "fax_number": "813-269-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ DIAZ",
        "first_name": "YANET",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020420",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11020420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.