Samantha Andrea Diaz-Nassar

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439

Phone

(407) 530-5063

Fax

(877) 399-5578

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1508589359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LOMBARD CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116525",
            "telephone_number": "352-978-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N CENTRAL AVE STE 110",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414439",
            "telephone_number": "407-530-5063",
            "fax_number": "877-399-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-NASSAR",
        "first_name": "SAMANTHA",
        "middle_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "therabill",
            "affiliation": "N",
            "address_1": "1200 N Central Ave Ste 110",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347414439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mileydis Diaz Sanchez
• Yamileth Diaz Sanchez
• Norma Diaz Suarez
• Diaz TCM
• Edgardo L. Diaz-Latorre, PHARMD
• Nancy Diaz-Richardson
• Alexis Diaz, CAC, CTP
• Alexis Alexander Diaz, MD
• Alissa Diaz, OTD
• Andrew Diaz

• Occupational Therapy Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.