Active NPI
Diana Clersaint
- Psychiatric/Mental Health Nurse Practitioner
- Tamarac, FL
National Provider Identifier
1720900640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN9507091
- Practice address
- 4504 NW 48TH Ter
Tamarac, FL 33319-3619 - Phone
- (786) 520-0378
- NPI assigned
- Jul 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN9507091 | FL | Primary |
Addresses
Primary practice location
4504 NW 48TH Ter
Tamarac, FL 33319-3619
Mailing address
4504 NW 48TH Ter
Tamarac, FL 33319-3619
Phone (786) 520-0378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1720900640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4504 NW 48TH TER",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333193619",
"telephone_number": "786-520-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4504 NW 48TH TER",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333193619",
"telephone_number": "786-520-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLERSAINT",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-30",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "RN9507091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.