Individual provider Active NPI

Cynthia Dawn Diaz, FNP-C

  • Family Nurse Practitioner
  • San Manuel, AZ
National Provider Identifier
1679128466
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
230536 Issued in AZ
Practice address
23 S McNab Pkwy
San Manuel, AZ 85631-1156
Phone
(520) 385-2234
Fax
(520) 381-3209
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 230536 AZ Primary

Addresses

Primary practice location

23 S McNab Pkwy
San Manuel, AZ 85631-1156

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

Other practice location 1

1530 W Liddell Dr
Tucson, AZ 85704-2144
Phone (661) 609-6042

Other practice location 2

6050 N Corona Rd
Tucson, AZ 85704-1096
Phone (520) 469-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191111002021 AZ Practitioner - Nurse Practitioner 6800228990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

551 W Magee Rd
Tucson, AZ 85704-6439
Phone (520) 498-6467

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Behavioral Health Hospital, LLC Current Accepting new patients
Tucson Physician Group Holdings, LLC CurrentSince Nov 4, 2022 Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
Carondelet Medical Group, Inc Family Medicine Past Accepting new patients
Sun Life Family Health Center, Inc Past Accepting new patients

Locations

6050 N Corona Rd
Tucson, AZ 85704
Phone (520) 469-8700

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

551 W Magee Rd
Tucson, AZ 85704
Phone (520) 498-6467

Interoperability endpoints

  • Direct secure messaging: cynthia.diaz.1@600.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1679128466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446",
            "fax_number": "520-836-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S MCNAB PKWY",
            "city": "SAN MANUEL",
            "state": "AZ",
            "postal_code": "856311156",
            "telephone_number": "520-385-2234",
            "fax_number": "520-381-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 W Liddell Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857042144",
            "country_code": "US",
            "telephone_number": "661-609-6042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6050 N Corona Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041096",
            "country_code": "US",
            "telephone_number": "520-469-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CYNTHIA",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "230536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Manuel, AZ

Sources for this page

Verify at the official NPI Registry.