Individual provider Active NPI

Sailys Nunez Diaz, ARNP

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1578044145
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9422041 Issued in FL
Practice address
110 NE 2ND PL Ste 106
Cape Coral, FL 33909-2553
Phone
(239) 244-2917
Fax
(239) 236-1991
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9422041 FL Primary

Addresses

Primary practice location

110 NE 2ND PL Ste 106
Cape Coral, FL 33909-2553

Mailing address

110 NE 2ND PL Ste 106
Cape Coral, FL 33909-2553
Phone (239) 244-2917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190301001076 FL Practitioner - Nurse Practitioner 7113266511 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9422041FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care Group Family CurrentSince Jul 21, 2022 Accepting new patients
Anthony J. Williamitis M D Inc. CurrentSince Sep 9, 2022 Accepting new patients

Locations

9200 Bonita Beach Rd SE
Ste 105
Bonita Springs, FL 34135
Phone (239) 947-6808

110 NE 2nd Pl
Ste 106
Cape Coral, FL 33909
Phone (239) 244-2917

3900 Broadway
Ste A1
Fort Myers, FL 33901
Phone (239) 288-5413

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16160/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1578044145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NE 2ND PL STE 106",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092553",
            "telephone_number": "239-244-2917",
            "fax_number": "239-236-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NE 2ND PL STE 106",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092553",
            "telephone_number": "239-244-2917",
            "fax_number": "239-236-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ DIAZ",
        "first_name": "SAILYS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9422041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.