Jennifer Salonga Diaz, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

112690 Issued in NE

Practice address

14040 Boys Town Hospital Rd
Boys Town, NE 68010-7521

Phone

(531) 355-6800

NPI assigned

Jan 11, 2019

Last updated

Jan 30, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdiaz1133240@directc.mercy.net

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.

• Father Flanagan's Boys' Home

  dba Boys Town Professional Services

  • Pediatrics Physician
  • Omaha, NE
  • NPI 1295821825
  Medicare reassignment NPD
• ENT Services PC

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1194822130
  NPD (past)
• Father Flanagan's Boys Home

  dba Boys Town Center for Behavioral Health

  • Psychologist
  • Boys Town, NE
  • NPI 1265405419
  NPD (past)

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1346714458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 BOYS TOWN HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107521",
            "telephone_number": "531-355-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 BOYS TOWN HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107521",
            "telephone_number": "531-355-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JENNIFER",
        "middle_name": "SALONGA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathi J Curry, MD
• Pooja Dave, M.D.
• Michael G Dawson, MD
• Marlee Jo Denton, LIMHP, LMHP, LADC
• Mariah Lillian Deserisy, MA
• Brittany Dibert, LIMHP
• Cheryl Ann Dick, APRN
• Michi Su Diller, AUD
• Matthew Dean Dobbertin, D.O.
• Mark J Domet, M.D.

• Family Nurse Practitioner in Boys Town, NE
• Providers in Boys Town, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.