Individual provider Active NPI

Mireya E Alberteris Diaz, APRN

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1245957760
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022585 Issued in FL
Practice address
1005 N Lake Parker Ave
Lakeland, FL 33805-4723
Phone
(863) 583-4053
NPI assigned
Oct 25, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11022585 FL Primary

Addresses

Primary practice location

1005 N Lake Parker Ave
Lakeland, FL 33805-4723

Mailing address

12171 SW 268TH St
Homestead, FL 33032-8001
Phone (205) 278-0200

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
I20221122003007 FL Practitioner - Nurse Practitioner 5698143667 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11022585FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of North Florida, Inc Current Accepting new patients
American Care of North Florida, Inc CurrentSince Jul 24, 2024 Accepting new patients
American Care of North Florida, Inc CurrentSince Jul 24, 2024 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

1918 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-6954

1005 N Lake Parker Ave
Lakeland, FL 33805
Phone (863) 583-4053

11211 N Nebraska Ave
Tampa, FL 33612
Phone (813) 514-2333

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1245957760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 SW 268TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328001",
            "telephone_number": "205-278-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N LAKE PARKER AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054723",
            "telephone_number": "863-583-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTERIS DIAZ",
        "first_name": "MIREYA",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.