Angela Diaz, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

53898 Issued in SC

Practice address

157 Cougar Dr
West Columbia, SC 29169-4794

Phone

(803) 739-4190

Fax

(803) 739-3188

NPI assigned

Feb 12, 2013

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1376882308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 COUGAR DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694794",
            "telephone_number": "803-739-4190",
            "fax_number": "803-739-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 COUGAR DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694794",
            "telephone_number": "803-739-4190",
            "fax_number": "803-739-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "53898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Detwiler, PTA
• Karen Ann Devereaux, COTA
• Kristin K Devito, PA
• Jackara Shadasha Dewalt
• Raymond E Diamond, DO
• Pauline Dibia, MD
• Dickerson Center for Children, Inc
• Angela Paulette Diemont, APRN
• Donna Taylor Diggins, L.P.N.
• Tika Diggs-Dugans

• School Registered Nurse in West Columbia, SC
• Providers in West Columbia, SC by specialty
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.