Individual provider Active NPI

Danny Lisbeth Diaz, PMHNP-BC

  • Family Nurse Practitioner
  • Novi, MI
National Provider Identifier
1730653973
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704284519 Issued in MI
Practice address
43155 Main St Ste 2316
Novi, MI 48375-1781
Phone
(248) 934-0274
NPI assigned
Jan 21, 2019
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704284519 MI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704284519 MI

Addresses

Primary practice location

43155 Main St Ste 2316
Novi, MI 48375-1781

Mailing address

43155 Main St Ste 2316
Novi, MI 48375-1781
Phone (248) 934-0274

Other identifiers 1

IdentifierTypeStateIssuer
4704284519OtherMIRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190225000369 MI Practitioner - Nurse Practitioner 9830438522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Alliance Behavioral Health Specialists PLLCGroup PAC ID 4880934793, 3 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

43155 Main St
Suite 2316
Novi, MI 48375-1781
Phone (734) 673-9522

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Nurse Practitioner CurrentSince Jun 23, 2019 Accepting new patients
Henry Ford Health System CurrentSince Jun 23, 2019 Accepting new patients
Alliance Behavioral Health Specialists PLLC CurrentSince Mar 1, 2019 Accepting new patients
Community Health and Social Services Center, Inc Past Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

43155 Main St
Ste 2316
Novi, MI 48375
Phone (248) 880-0162

Interoperability endpoints

  • Direct secure messaging: ddiaz199275@direct.hfhs.org

Organizations & group practices 4

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.

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": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1730653973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43155 MAIN ST STE 2316",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751781",
            "telephone_number": "248-934-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43155 MAIN ST STE 2316",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751781",
            "telephone_number": "248-934-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DANNY",
        "middle_name": "LISBETH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704284519",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704284519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "4704284519",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.