Jennifer Diaz, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

309206 Issued in NY

Practice address

2429 Culver Rd
Rochester, NY 14609-1745

Phone

(585) 755-8494

NPI assigned

Apr 26, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1669730792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 CULVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091745",
            "telephone_number": "585-755-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 CULVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146091745",
            "telephone_number": "585-755-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JENNIFER",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "309206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669730792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yasellyn Diaz-Vega, D.C.
• Amanda J Diaz, LCSW
• Brianna Maria Diaz, PSYD
• Elena Diaz, LMSW
• Hector Manuel Diaz, CASAC #10914
• Jennifer Diaz, MSW
• Jennifer Dawn Diaz, RN
• Kendra Diaz, RN
• Mariane Beatrice Diaz
• Marisol Diaz, RN

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.