Krystle Marie Diaz, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP07247 Issued in LA

Practice address

217 Sam Houston Jones Pkwy
Suite 101
Lake Charles, LA 70611-5644

Phone

(337) 217-1000

Fax

(337) 217-1004

NPI assigned

Mar 4, 2013

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Orthopaedics

  • Orthopaedic Surgery Physician
  • Lake Charles, LA
  • NPI 1194819607
  NPD (past)

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1689915415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 CLARK CT",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706113528",
            "telephone_number": "337-802-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SAM HOUSTON JONES PKWY",
            "address_2": "SUITE 101",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115644",
            "telephone_number": "337-217-1000",
            "fax_number": "337-217-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "KRYSTLE",
        "middle_name": "MARIE",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Couch Devillier, PMNHNP
• Mary-Alaina Dewees, APRN, FNP
• Diabetes Education of Lake Charles Memorial Hospital
• Diabetic Warehouse, LLC
• Martina Francisca Diaz Aguilar
• Alex Heath Dibbley, A.T.C., L.A.T.
• Okechukwu Dibia, PHARMD
• Torry Dickens, NP
• Tran Huyen Diep, PHARM.D
• Digestive Health Center of Swla

• Family Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.