Organization Active NPI

Diosa Integrative Medicine

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1619869351
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DIOSA INTEGRATIVE MEDICINE
Practice address
20701 Bruce B Downs Blvd Ste 204
Tampa, FL 33647-3676
Phone
(813) 820-4828
Fax
(813) 820-4977
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Dawn Smith Walsh, APRNNPI 1992030696
Title
Owner
Phone
(813) 820-4828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

20701 Bruce B Downs Blvd Ste 204
Tampa, FL 33647-3676

Mailing address

20701 Bruce B Downs Blvd Ste 204
Tampa, FL 33647-3676
Phone (813) 820-4828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251202000399 FL Part B Supplier - Clinic/Group Practice 5193218956 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

20701 Bruce B Downs Blvd
Ste 204
Tampa, FL 33647
Phone (813) 820-4828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1619869351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20701 BRUCE B DOWNS BLVD STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473676",
            "telephone_number": "813-820-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20701 BRUCE B DOWNS BLVD STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473676",
            "telephone_number": "813-820-4828",
            "fax_number": "813-820-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIOSA INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "SMITH WALSH",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-820-4828",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.