Individual provider Active NPI

Diana Suleymanova, MSN-PH, APRN, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1609624154
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
303160 Issued in AZ
Practice address
8825 N 23Rd Ave
Phoenix, AZ 85021-4147
Phone
(888) 256-3814
NPI assigned
May 9, 2024
Last updated
May 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 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 303160 AZ Primary

Addresses

Primary practice location

8825 N 23Rd Ave
Phoenix, AZ 85021-4147

Mailing address

1100 E Bell Rd Apt 1027
Phoenix, AZ 85022-3172
Phone (602) 722-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240605001246 AZ Practitioner - Nurse Practitioner 3577005636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ya Medical LLCGroup PAC ID 2264808872, 2 clinicians

Practice addresses (Care Compare)

334 W Angela Dr
Phoenix, AZ 85023-6526
Phone (602) 743-1741

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ya Medical LLC CurrentSince Mar 1, 2026 Accepting new patients

Organizations & group practices 1

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1609624154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E BELL RD APT 1027",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223172",
            "telephone_number": "602-722-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 N 23RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214147",
            "telephone_number": "888-256-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEYMANOVA",
        "first_name": "DIANA",
        "credential": "MSN-PH, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "303160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.