Individual provider Active NPI

Yadira Napoles Diaz, FNP-C

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1427553197
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11026126 Issued in FL
Practice address
2211 Okeechobee Rd
Fort Pierce, FL 34950-6552
Phone
(772) 230-5366
Fax
(772) 673-8172
NPI assigned
Mar 26, 2018
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11026126 FL Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2211 Okeechobee Rd
Fort Pierce, FL 34950-6552

Mailing address

168 SW Donna Ter
Port St Lucie, FL 34984-4453
Phone (786) 312-2302

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
I20230728002699 FL Practitioner - Nurse Practitioner 0345601936 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC CurrentSince Dec 9, 2024 Accepting new patients
Medical Coral Way Center Corp CurrentSince Aug 1, 2025 Accepting new patients
Athens Family Medicine LLC Past Accepting new patients
Syx, Corp. Past Accepting new patients

Locations

4100 W New Haven Ave
Melbourne, FL 32904

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

1732 S Congress Ave
Palm Springs, FL 33461
Phone (561) 385-0731

1401 S Military Trl
West Palm Beach, FL 33415
Phone (561) 429-3122

1401 S Military Trl
#C1
West Palm Beach, FL 33415

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Interoperability endpoints

  • Direct secure messaging: yadira.napoles.diaz.1@32578.direct.athenahealth.com

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1427553197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 SW DONNA TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349844453",
            "telephone_number": "786-312-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 OKEECHOBEE RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349506552",
            "telephone_number": "772-230-5366",
            "fax_number": "772-673-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAPOLES DIAZ",
        "first_name": "YADIRA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026126",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.