Alysha Brooke Diaz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09108 Issued in TX

Practice address

111 Avenue F
Bay City, TX 77414-4117

Phone

(979) 245-2008

NPI assigned

Feb 28, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alysha.diaz.1@17406.direct.athenahealth.com
• Direct secure messaging: adiaz@mehop.directbygreenway.com

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.

• Matagorda Episcopal Health Outreach Program Corporation

  • Federally Qualified Health Center (FQHC)
  • Bay City, TX
  • NPI 1598024788
  Medicare reassignment NPD
• Matagorda Episcopal Health Outreach Program

  • Federally Qualified Health Center (FQHC)
  • Wharton, TX
  • NPI 1205449386
  NPD
• Matagorda Episcopal Health Outreach Program

  • Dentist
  • Bay City, TX
  • NPI 1073703575
  NPD (past)

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1235554114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVENUE F N",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774143167",
            "telephone_number": "979-245-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144117",
            "telephone_number": "979-245-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ALYSHA",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Davis
• Laura Delarosa
• Dennard & Humphries DDS, LLP
• Donald Crayden Dennard, D.D.S.
• Megan Dewoody
• Maria Bernadette Dieringer, RPH
• Discovery Medical Network Matagorda LLC
• Discovery Medical Network Matagorda, LLC
• Discovery Medical Network Matagorda, LLC
• Shanta Dlima, M.D.

• Physician Assistant in Bay City, TX
• Providers in Bay City, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.