Diana Mendoza Noriega, FNP-C

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

169400 Issued in AZ

Practice address

5002 W Glendale Ave Ste 104
Glendale, AZ 85301-2756

Phone

(623) 847-5300

NPI assigned

Sep 19, 2018

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glendale Pediatrics LLCGroup PAC ID 9133282502, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Glendale Pediatrics LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1336335983
  Medicare reassignment Care Compare group NPD
• Glendale Pediatrics LLC

  dba GP Family Care Mesa

  • Primary Care Clinic/Center
  • Mesa, AZ
  • NPI 1740044312
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1326522921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6745 N 51ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853013425",
            "telephone_number": "623-847-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 W GLENDALE AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012756",
            "telephone_number": "623-847-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORIEGA",
        "first_name": "DIANA",
        "middle_name": "MENDOZA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "221226",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "169400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noko Medical Supply Company
• Kara A Nolan, CISW
• Melanie S Nolan, APN
• Patrick James Nolan, M.D.
• Cori Norgaard, DO
• Rudy Noriega, PAC
• Brandi Norman
• Elizabeth Norman
• North Family Medicine LTD
• North Glendale Regenerative Medicine Clinic PLLC

• Registered Nurse in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.