Active NPI
Diana Katherine Nieto, PA-C
- Medical Physician Assistant
- Kissimmee, FL
National Provider Identifier
1639484876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9103431
- Practice address
- 1307 E Osceola Pkwy
Kissimmee, FL 34744-1605 - Phone
- (844) 665-4827
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9103431 | FL | Primary |
Addresses
Primary practice location
1307 E Osceola Pkwy
Kissimmee, FL 34744-1605
Mailing address
111 Webb Dr
Davenport, FL 33837-3944
Phone (863) 421-9447
Other practice location 1
111 Webb Dr
Davenport, FL 33837-3944
Phone (863) 421-9447
Other practice location 2
1060 Cypress Pkwy Unit 101
Poinciana, FL 34759-3328
Phone (863) 588-4775
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soni Family Practice, PLLC | Past | Accepting new patients | |
| Soni Family Practice, PLLC | Past | Accepting new patients |
Interoperability endpoints
- diana.nieto.1@6807.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Davenport, FL
- NPI 1083957583
-
- Family Medicine Physician
- Poinciana, FL
- NPI 1912723750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1639484876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WEBB DR",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338373944",
"telephone_number": "863-421-9447",
"fax_number": "863-421-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 E OSCEOLA PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347441605",
"telephone_number": "844-665-4827"
}
],
"practiceLocations": [
{
"address_1": "111 Webb Dr",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "FL",
"postal_code": "338373944",
"country_code": "US",
"telephone_number": "863-421-9447",
"fax_number": "863-421-1806",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1060 Cypress Pkwy Unit 101",
"address_purpose": "LOCATION",
"city": "Poinciana",
"state": "FL",
"postal_code": "347593328",
"country_code": "US",
"telephone_number": "863-588-4775",
"fax_number": "863-422-7664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIETO",
"first_name": "DIANA",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9103431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.