Maria Teresa Diaz, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN199729 Issued in GA

Practice address

11785 Northfall LN Ste 505
Alpharetta, GA 30009-7961

Phone

(678) 393-0012

Fax

(678) 393-5158

NPI assigned

May 5, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Dekalb Medical Specialty Care Group LLC

  • Neurology Physician
  • Decatur, GA
  • NPI 1063663037
  NPD (past)

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1336467067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11785 NORTHFALL LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097971",
            "telephone_number": "678-393-0012",
            "fax_number": "678-393-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11785 NORTHFALL LN STE 505",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097961",
            "telephone_number": "678-393-0012",
            "fax_number": "678-393-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN199729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dheera Bhatnagar
• Dhiraj a Patel MD
• Jignesh R Dholaria, MD
• Diabetes and Endocrinology Center, Inc
• Diagnostic Solutions Laboratory, LLC
• Ashley Parker Dickerson, PHARM D
• Mark S Dickinson, OD
• Alyssa Dicus, OD
• Patrick Dicus, OD
• Freida Dieujuste, RBT

• All providers in Alpharetta, GA
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.