Individual provider Active NPI

Rachel Diaz, NP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1386382844
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018659 Issued in FL
Practice address
4475 Medical Center Way Ste 3
West Palm Beach, FL 33407-3240
Phone
(561) 781-8070
Fax
(561) 781-8077
NPI assigned
May 24, 2022
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11018659 FL Primary

Addresses

Primary practice location

4475 Medical Center Way Ste 3
West Palm Beach, FL 33407-3240

Mailing address

8205 NW 106TH Ave
Tamarac, FL 33321-1106
Phone (504) 701-8839

Other practice location 1

15700 NW 67th Ave Ste 101
Miami Lakes, FL 33014-2112
Phone (786) 434-5587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230725002594 FL Practitioner - Nurse Practitioner 8921469859 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11018659FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Water Pain Solutions, PA CurrentSince Apr 6, 2023 Accepting new patients
Blue Water Pain Solutions, PA CurrentSince Apr 6, 2023 Accepting new patients
Total Vein and Skin LLC CurrentSince Jan 29, 2025 Accepting new patients
Vitality Ageless Center LLC CurrentSince Jun 8, 2024 Accepting new patients
Xpress Urgent Care, LLC. PastSince Dec 21, 2021 Accepting new patients

Locations

7280 W Palmetto Park Rd
Ste 207
Boca Raton, FL 33433
Phone (561) 278-1362

10383 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 349-7653

2 Oakwood Blvd
Ste 195
Hollywood, FL 33020
Phone (305) 459-3410

1951 SW 172nd Ave
Ste 314
Miramar, FL 33029
Phone (549) 447-5206

555 W Granada Blvd
Ste E2
Ormond Beach, FL 32174
Phone (386) 235-6136

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rachel.diaz.1@14883.direct.athenahealth.com

Organizations & group practices 5

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1386382844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 NW 106TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211106",
            "telephone_number": "504-701-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 MEDICAL CENTER WAY STE 3",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073240",
            "telephone_number": "561-781-8070",
            "fax_number": "561-781-8077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15700 NW 67th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142112",
            "country_code": "US",
            "telephone_number": "786-434-5587",
            "fax_number": "786-434-5988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.