Individual provider Active NPI

Yohadima Zaldivar Diaz, APRN

  • Family Nurse Practitioner
  • Immokalee, FL
National Provider Identifier
1578393666
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11034466 Issued in FL
Practice address
419 N 1St St
Immokalee, FL 34142-3150
Phone
(239) 252-7300
Fax
(239) 896-1993
NPI assigned
Aug 5, 2024
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 APRN11034466 FL Primary

Addresses

Primary practice location

419 N 1St St
Immokalee, FL 34142-3150

Mailing address

7240 40TH St NE
Naples, FL 34120-2624
Phone (786) 216-3319

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
I20240913002957 FL Practitioner - Nurse Practitioner 0446790695 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11034466FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Sep 9, 2024 Accepting new patients
Florida Department of Health CurrentSince Sep 9, 2024 Accepting new patients
Collier County Health Department Past Accepting new patients

Locations

419 N 1st St
Immokalee, FL 34142
Phone (239) 252-7300

3339 Tamiami Trl E
Ste 145
Naples, FL 34112
Phone (239) 252-2697

Organizations & group practices 3

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1578393666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 40TH ST NE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341202624",
            "telephone_number": "786-216-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N 1ST ST",
            "city": "IMMOKALEE",
            "state": "FL",
            "postal_code": "341423150",
            "telephone_number": "239-252-7300",
            "fax_number": "239-896-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALDIVAR DIAZ",
        "first_name": "YOHADIMA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Immokalee, FL

Sources for this page

Verify at the official NPI Registry.