Denise Danielle Diaz

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1568870970 Issued in OK

Practice address

100 N University Dr
Edmond, OK 73034-5207

Phone

(405) 974-2727

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1659005353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N UNIVERSITY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345207",
            "telephone_number": "405-974-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N UNIVERSITY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345207",
            "telephone_number": "405-974-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DENISE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "1568870970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsunderland@uco.edu",
            "affiliation": "Y",
            "affiliationName": "University of Central Oklahoma",
            "address_1": "100 N University Dr",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730345207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsunderland@uco.edu",
            "affiliation": "Y",
            "affiliationName": "University of Central Oklahoma",
            "address_1": "100 N University Dr",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730345207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diagnostic Orthopedic Group LLC
• Diagnostic Radiology
• Diagnostic Resources, LLC
• Diana K. Rice Nutrition, LLC
• Diane D. Brown, M.Ed., L.P.C., P.C.
• Tina D Dickerson, D.O.
• Jordyn Dickinson, RBT
• Daniel Dickman
• Olivia Diel, DPT
• Michele Rae Diesselhorst-Reese, LCSW

• Athletic Trainer in Edmond, OK
• Providers in Edmond, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.