Individual provider Active NPI

Blanca Diez Nahmias, M.D.

  • Psychiatry Physician
  • Seabrook, TX
National Provider Identifier
1376639328
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G1261 Issued in TX
Practice address
4821 Nasa Pkwy Apt 19S
Seabrook, TX 77586-6552
Phone
(281) 881-0237
Fax
(281) 333-2293
NPI assigned
Oct 5, 2006
Last updated
Nov 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G1261 TX Primary
Geriatric Psychiatry Physician 2084P0805X G1261 TX

Addresses

Primary practice location

4821 Nasa Pkwy Apt 19S
Seabrook, TX 77586-6552

Mailing address

4821 Nasa Pkwy Apt 19S
Seabrook, TX 77586-6552
Phone (281) 881-0237

Other identifiers 3

IdentifierTypeStateIssuer
099754604MedicaidTX
8S4193OtherTXBCBS
P00164130OtherTXRR MEDICARE

Other names 1

  • Dr. Blanca Diez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12876TXMDGeneral Practice Dentistry
G1261TXMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha J Vigneri Psychiatry Past Accepting new patients
Camino Real Community MHMR Center Past Accepting new patients
The Harris Center for Mental Health and Idd PastSince May 17, 2004 Accepting new patients
Samantha J Vigneri Psychiatry Past Accepting new patients

Organizations & group practices 4

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1376639328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 NASA PKWY APT 19S",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775866552",
            "telephone_number": "281-881-0237",
            "fax_number": "281-333-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 NASA PKWY APT 19S",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775866552",
            "telephone_number": "281-881-0237",
            "fax_number": "281-333-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHMIAS",
        "first_name": "BLANCA",
        "middle_name": "DIEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G1261",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TX",
            "license": "G1261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099754604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8S4193",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00164130",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLANCA",
            "last_name": "DIEZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seabrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.