Marie Bernadette Gaston Diez, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0001135171 Issued in VA

Practice address

8505 Arlington Blvd
Suite 400
Fairfax, VA 22031

Phone

(571) 226-5600

Fax

(571) 423-5067

NPI assigned

Jul 15, 2006

Last updated

Dec 19, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Marymount University, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061

  DC

  Medicare reassignment Care Compare group
• Ashburn Family Healthcare, PLLC

  • Primary Care Clinic/Center
  • Ashburn, VA
  • NPI 1619992336
  NPD (past)
• Carient Heart & Vascular, LLC

  • Cardiovascular Disease Physician
  • Manassas, VA
  • NPI 1669982526
  NPD (past)
• Inova Health Care Services - Pathology

  dba Inova Pathology Institute

  • Anatomic Pathology & Clinical Pathology Physician
  • Falls Church, VA
  • NPI 1427369578
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1568488138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD",
            "address_2": "SUITE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "571-226-5600",
            "fax_number": "571-423-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 ARLINGTON BLVD",
            "address_2": "SUITE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "571-226-5600",
            "fax_number": "571-423-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEZ",
        "first_name": "MARIE BERNADETTE",
        "middle_name": "GASTON",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001135171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dickerson
• Ryan Dickerson
• Kristen Dickert, FNP
• Nana Dickson, D.D.S.
• Nicole Alyssa Emma Dietz, MD, PHD
• Angela J Diggs, FNP-BC
• Digitrace Care Services Inc.
• Dignity Home Care LLC
• Christine Diienno, OTR/L
• Tochukwu Anselm Dike

• Family Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.