Active NPI
Ines D Diaz, TSLD
- Speech-Language Assistant
- Canadensis, PA
National Provider Identifier
1598098832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 354866091
- Practice address
- 310Blueridge Dr
Canadensis, PA 18325 - Phone
- (570) 595-2935
- NPI assigned
- Sep 17, 2009
- Last updated
- Sep 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 354866091 | NY | Primary |
Addresses
Primary practice location
310Blueridge Dr
Canadensis, PA 18325
Mailing address
RR 1Box200M
310Blueridge Dr
Canadensis, PA 18325
Phone (570) 595-2935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 354866091 | NY | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1598098832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1BOX200M",
"address_2": "310BLUERIDGE DR",
"city": "CANADENSIS",
"state": "PA",
"postal_code": "18325",
"telephone_number": "570-595-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310BLUERIDGE DR",
"city": "CANADENSIS",
"state": "PA",
"postal_code": "18325",
"telephone_number": "570-595-2935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "INES",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "TSLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-17",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "NY",
"license": "354866091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canadensis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.