Craig T Diaz Jr., RNFA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP139417 Issued in TX

Practice address

5414 Bowser Ave
Dallas, TX 75209-6301

Phone

(888) 322-6432

Fax

(888) 329-6432

NPI assigned

Dec 1, 2014

Last updated

Nov 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TX

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Worth Brain and Spine Institute, LLPGroup PAC ID 0840273868, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott and White Surgical Hospital Fortworth Hospital, Fort Worth, TX, CCN 450880
• Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Fort Worth Brain & Spine Institute, LLP

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1770503237
  Medicare reassignment Care Compare group NPD
• Aligned Surgical Assisting, PLLC

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1164829511
  Authorized official Same address or phone

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

• Columbia Plaza Medical Center of Fort Worth Subsidiary LP

  dba Medical City Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1659323772
  Care Compare affiliation
• Fort Worth Surgicare Partners LTD

  dba Baylor Surgical Hospital at Fort Worth Outpatient Center

  • Special Hospital
  • Fort Worth, TX
  • NPI 1568883775
  Care Compare affiliation
• Fort Worth Surgicare Partners, LTD.

  dba Baylor Scott & White Surgical Hospital - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871599183
  Care Compare affiliation

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1447657895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190287",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752190287",
            "telephone_number": "888-322-6432",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 BOWSER AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752096301",
            "telephone_number": "888-322-6432",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CRAIG",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139417",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "799571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Diaz-Reyes, MS, CGC
• Aimee Andreina Diaz
• Alejandra Diaz, LPC
• Bryan Diaz
• Cindy Joselin Diaz, SLP-ASSISTANT
• Desiree Diaz, DPT
• Emmanuel Alex Diaz, MPH, CPH, RDN, LD
• Ethan Thomas Diaz
• Jacqueline Diaz
• Jose A Diaz, M.D.

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.