Anisley Lanza Diaz

Primary specialty

Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X

License

RN9582094 Issued in FL

Practice address

2715 W Sligh Ave
Tampa, FL 33614-2852

Phone

(813) 403-2567

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Aurora Medical Group. Corp

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
  • NPI 1306487202

  Multi-Specialty

  NPD Authorized official
• Aurora Research Center, Corp

  • Clinic/Center
  • Tampa, FL
  • NPI 1386435329

  Nurse Massage Therapist (NMT)

  NPD Authorized official
• ASC Community Mental Health Corp

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1740744390
  NPD
• Positively U, Inc

  • Primary Care Clinic/Center
  • Winter Haven, FL
  • NPI 1144856386

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1336798156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W WATERS AVE STE 117",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042852",
            "telephone_number": "813-403-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W SLIGH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142852",
            "telephone_number": "813-403-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZA DIAZ",
        "first_name": "ANISLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "MA89791",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "FL",
            "license": "MA89791",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "FL",
            "license": "RN9582094",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9582094",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "MA89791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAR INSURANCE",
            "identifier": "L523000825290",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Record",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Record",
            "address_1": "1419 W Waters Ave Ste 117",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336042852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sean Michael Lannon, MD
• Jan M Lanouette, M.D.
• Jacquelyn Courtney Lansdale, M.A.
• Shelbi R Lansing
• Lantern Homecare LLC
• Alyssa Lanzi, SLP
• Lanzisera Chiropractic Medicine LLC
• Frank Paul Lanzisera, DC
• Simeon Alfonso Lao, PT, DPT, MTC, CFC
• Laph Enterprises, LLC

• Nurse Massage Therapist (NMT) in Tampa, FL
• Providers in Tampa, FL by specialty
• Nurse Massage Therapist (NMT) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.