Heidi Katheryn De Diego, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1056697 Issued in TX

Practice address

11330 Legacy Dr Ste 103
Frisco, TX 75033-1210

Phone

(469) 777-4691

Fax

(469) 777-4542

NPI assigned

Oct 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prime Psychiatry PA

  • Psychiatry Physician
  • Frisco, TX
  • NPI 1295117554

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1649933383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331210",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331210",
            "telephone_number": "469-777-4691",
            "fax_number": "469-777-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE DIEGO",
        "first_name": "HEIDI",
        "middle_name": "KATHERYN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1056697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Davis
• Ajzhane Ravon Dawn
• Richard Taylor Dawson, MSM, PA-C
• Ashlyn Day
• DC View Imaging, LLC
• Octavio A De la Pena, M.D.
• Briana De la Rocha
• Denise Esperanza De Leon
• Isabella De Leon
• Carrie E De Moor, MD

• Psychiatric/Mental Health Nurse Practitioner in Frisco, TX
• Providers in Frisco, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.