Melinda Haddock-Diaz, DNP, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30209 Issued in TN

Practice address

198 Old Farmers Rd
Clarksville, TN 37043-4032

Phone

(931) 358-2900

Fax

(931) 358-3821

NPI assigned

Aug 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Iris Medical GroupGroup PAC ID 0648653360, 82 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Suncrest Home Health Home health agency, Clarksville, TN, CCN 447298
• Amedisys Home Health Home health agency, Brentwood, TN, CCN 447107

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melinda.haddock-diaz.1@30029.direct.athenahealth.com

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.

• Iris Medical Group

  • Primary Care Clinic/Center
  • Brentwood, TN
  • NPI 1851025902

  Family

  Medicare reassignment Care Compare group NPD
• Covenant Family Practice, PC

  • Family Medicine Physician
  • Clarksville, TN
  • NPI 1225073166
  Medicare reassignment NPD
• Iris Wound Care, PC

  • Clinic/Center
  • Brentwood, TN
  • NPI 1568273605
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Tennessee, LLC

  • Home Health Agency
  • Brentwood, TN
  • NPI 1972551794
  Care Compare affiliation
• Clarksville Home Care Services LLC

  • Home Health Agency
  • Clarksville, TN
  • NPI 1427003607
  Care Compare affiliation

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1427723089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 W POINT DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434003",
            "telephone_number": "931-237-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 OLD FARMERS RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434032",
            "telephone_number": "931-358-2900",
            "fax_number": "931-358-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOCK-DIAZ",
        "first_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-09-25",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "150229",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Haag, LPC/MHSP
• Leah Haas, CCC-SLP
• David H Haase, MD
• Randall Robert Haase, M.D.
• John Edison Hackett, PT
• Kathryn Hadley, RBT-15-01894
• Hannah Haggerty
• Alexandra Michelle Hale, OT
• Raven Jade Hale, LMSW
• Brain Haley

• Family Nurse Practitioner in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.

Verify at the official NPI Registry.