Individual provider Active NPI

Deisy Diaz, DNP, APRN

  • Adult Health Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1427077742
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9179779 Issued in FL
Practice address
6750 Taft St
Hollywood, FL 33024-3903
Phone
(954) 342-9822
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9179779 FL Primary

Addresses

Primary practice location

6750 Taft St
Hollywood, FL 33024-3903

Mailing address

4691 SW 110TH Ave
Davie, FL 33328-3224
Phone (305) 934-7076

Other practice location 1

315 SE 13th St
Fort Lauderdale, FL 33316-1923
Phone (954) 767-5900

Other practice location 2

1811 NW 123rd Ave
Pembroke Pines, FL 33026-3825
Phone (954) 342-9822

Other identifiers 1

IdentifierTypeStateIssuer
307102200MedicaidFL

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
I20050414001135 FL Practitioner - Nurse Practitioner 6406893015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9179779FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cioffi Inc. CurrentSince Apr 26, 2020 Accepting new patients

Locations

6750 Taft St
Hollywood, FL 33024
Phone (305) 929-8542

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1427077742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4691 SW 110TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283224",
            "telephone_number": "305-934-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243903",
            "telephone_number": "954-342-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 SE 13th St",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333161923",
            "country_code": "US",
            "telephone_number": "954-767-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 NW 123rd Ave",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330263825",
            "country_code": "US",
            "telephone_number": "954-342-9822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DEISY",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9179779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307102200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.