Jesenia Diego

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

16110 Kingsmoor Way
Miami Lakes, FL 33014-6562

Phone

(786) 200-6051

NPI assigned

Oct 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Watch Me Develop Corp.

  • Developmental Therapist
  • Miami Lakes, FL
  • NPI 1558037010
  NPD Authorized official
• Crystal Minds New Beginning Inc.

  • Behavior Analyst
  • Miami Gardens, FL
  • NPI 1518238229
  NPD (past)

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1588068043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 KINGSMOOR WAY",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 KINGSMOOR WAY",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146562",
            "telephone_number": "786-200-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGO",
        "first_name": "JESENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Diaz
• Stephanie Juliet Diaz
• Tania Diaz, PSYD
• Yanelis Diaz
• Diazgarcia Newlife Medihospitalgroup Inc
• Enrique B Dieguez, M.D.
• Ana Victoria Diez Gomez
• Aileen Diez, LMHC
• Bryana Dillette
• Diplomat Home Care, Inc.

• Developmental Therapist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.