Active NPI
Nacole Diaz, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Madisonville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08323
- Practice address
- 633 Piney Ridge Cir
Madisonville, LA 70447-3101 - Phone
- (504) 701-2875
- NPI assigned
- Jul 8, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Community/Retail Pharmacy
- Covington, LA
- NPI 1386341923
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
Hospital
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mary Bird Perkins Cancer Center
Practice addresses (Care Compare)
1203 S Tyler St
Suite 100
Covington, LA 70433-2353
Phone (985) 875-2234
4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847
Hospital & facility affiliations
- St Tammany Parish Hospital
- Riverside Medical Center
- East Jefferson General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151221002370 | LA | Practitioner - Nurse Practitioner | 1153622956 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nni Covington LLC | Current | Accepting new patients | |
| Gulfsouth Pulmonology, LLC | Current | Accepting new patients | |
| Mary Bird Perkins Cancer Center | Current | Accepting new patients | |
| Northshore Oncology Associates, LLC | Current | Accepting new patients |
Locations
1970 N Highway 190
Covington, LA 70433
Phone (985) 400-5988
1203 S Tyler St
Ste 100
Covington, LA 70433
Phone (985) 875-2234
1203 S Tyler St
Ste 230
Covington, LA 70433
Phone (985) 614-7871
904 Catalpa St
Donaldsonville, LA 70346
Phone (225) 264-6800
1570 Lindberg Dr
Ste 12
Slidell, LA 70458
Phone (985) 641-1963
4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847
Interoperability endpoints
- nacole.diaz@marybird.ikm.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08323 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
633 Piney Ridge Cir
Madisonville, LA 70447-3101
Mailing address
633 Piney Ridge Cir
Madisonville, LA 70447-3101
Phone (504) 701-2875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2015.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1376926428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 PINEY RIDGE CIR",
"city": "MADISONVILLE",
"state": "LA",
"postal_code": "704473101",
"telephone_number": "504-701-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 PINEY RIDGE CIR",
"city": "MADISONVILLE",
"state": "LA",
"postal_code": "704473101",
"telephone_number": "504-701-2875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "NACOLE",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.