Individual provider Active NPI

Joan Diaz-Roman, DC

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1548759145
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13778 Issued in FL
Practice address
4406 S Florida Ave Ste 22C
Lakeland, FL 33813-2182
Phone
(863) 600-4976
Fax
(863) 600-5277
NPI assigned
May 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13778 FL Primary

Addresses

Primary practice location

4406 S Florida Ave Ste 22C
Lakeland, FL 33813-2182

Mailing address

5619 Autumn Ridge Rd Apt 107
Lakeland, FL 33805-2793
Phone (863) 600-4976

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH13778FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness Chiropractic & Rehab LLC Chiropractor Current Accepting new patients

Locations

4406 S Florida Ave
Ste 22C
Lakeland, FL 33813
Phone (863) 600-4976

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1548759145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 AUTUMN RIDGE RD APT 107",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052793",
            "telephone_number": "863-600-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 S FLORIDA AVE STE 22C",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132182",
            "telephone_number": "863-600-4976",
            "fax_number": "863-600-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-ROMAN",
        "first_name": "JOAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.