Active NPI
Rebecca Diaz
- Family Nurse Practitioner
- West Springfield, MA
National Provider Identifier
1548675440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2268362
- Practice address
- 928 Riverdale St
Minuteclinic
West Springfield, MA 01089-4620 - Phone
- (413) 733-6490
- NPI assigned
- Jun 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2268362 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN9342813 | FL |
Addresses
Primary practice location
928 Riverdale St
Minuteclinic
West Springfield, MA 01089-4620
Mailing address
97 Somerset St
Springfield, MA 01108-2615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2268362 | MA | MD | Family Nurse Practitioner |
| RN9342813 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1548675440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 SOMERSET ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011082615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 RIVERDALE ST",
"address_2": "MINUTECLINIC",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894620",
"telephone_number": "413-733-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-30",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "2268362",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "RN9342813",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.