Icy Diamond

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3104 Moorewood Dr
Nashville, TN 37207-2811

Phone

(360) 515-6528

NPI assigned

Dec 23, 2022

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2022.

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1487366282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 MOOREWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 MOOREWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072811",
            "telephone_number": "360-515-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "ICY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dialysis Clinic Inc.
• Dialysis Clinic Inc.
• Dialysis Clinic Inc.
• Michael Jason Diamant, MD, MSC
• Alex Benjamin Diamond, DO, MPH
• Jody Dianna, L.C.S.W.
• Eduardo Coelho Dias, M.D.
• Michael Diatte
• Yanelis Alicia Diaz Greenberg, MD
• Lisa Diaz-Barriga, M.S.N., C.F.N.P.

• All providers in Nashville, TN
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.