Individual provider Active NPI

Melix Diaz, APRN

  • Family Nurse Practitioner
  • Johnston, RI
National Provider Identifier
1568124337
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN02888 Issued in RI
Practice address
1524 Atwood Ave Ste 327
Johnston, RI 02919-3228
Phone
(401) 383-0400
Fax
(401) 383-0410
NPI assigned
Oct 9, 2021
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN02888 RI
Family Nurse Practitioner 363LF0000X APRN02888 RI Primary

Addresses

Primary practice location

1524 Atwood Ave Ste 327
Johnston, RI 02919-3228

Mailing address

1524 Atwood Ave Ste 327
Johnston, RI 02919-3228
Phone (401) 383-0400

Other practice location 1

1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 457-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20230605002962 RI Practitioner - Nurse Practitioner 4284091372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.76
Promoting interoperability
96
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics, Inc. CurrentSince Jan 30, 2023 Accepting new patients
University Orthopedics, Inc. CurrentSince Jan 30, 2023 Accepting new patients
Angels Medical Associates LLC CurrentSince Mar 26, 2024 Accepting new patients
Atwood Gastroenterology Services, LTD. PastSince Feb 25, 2024 Accepting new patients

Locations

1 Kettle Point Ave
East Providence, RI 02914
Phone (401) 330-1400

1524 Atwood Ave
Ste 327
Johnston, RI 02919
Phone (401) 383-0400

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1568124337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 327",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-383-0400",
            "fax_number": "401-383-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 327",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-383-0400",
            "fax_number": "401-383-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kettle Point Ave",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145375",
            "country_code": "US",
            "telephone_number": "401-457-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MELIX",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN02888",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.