Individual provider Active NPI

Diana Jane Perez-Nunez, APRN,PMHNP, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1609304450
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN3193932 Issued in FL
Practice address
2900 N University Dr
Coral Springs, FL 33065-5083
Phone
(561) 846-0367
Fax
(561) 461-6255
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3193932 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN3193932 FL Primary

Addresses

Primary practice location

2900 N University Dr
Coral Springs, FL 33065-5083

Mailing address

2900 N University Dr
Coral Springs, FL 33065-5083
Phone (561) 846-0367

Other identifiers 1

IdentifierTypeStateIssuer
102504200MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL NA
CONNECT URL Optional

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
I20180215002363 FL Practitioner - Nurse Practitioner 5890055628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3193932FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 19, 2023 Accepting new patients
My Wellness Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients
Diana Perez-Nunez, Aprn, Co Psychiatric/Mental Health PastSince Oct 25, 2020 Accepting new patients
CQC Healthcare PA Past Accepting new patients
Dobremed,LLC PastSince Dec 8, 2024 Accepting new patients

Locations

2900 N University Dr
Coral Springs, FL 33065
Phone (561) 571-1557

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 5

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1609304450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655083",
            "telephone_number": "561-846-0367",
            "fax_number": "561-461-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N UNIVERSITY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655083",
            "telephone_number": "561-846-0367",
            "fax_number": "561-461-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ-NUNEZ",
        "first_name": "DIANA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "APRN,PMHNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3193932",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN3193932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102504200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "2900 N University Dr",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330655083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Optional",
            "affiliation": "N",
            "address_1": "2900 N University Dr",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330655083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.