Individual provider Active NPI

Diana NA Cobos, NP

  • Family Nurse Practitioner
  • Cutler Bay, FL
National Provider Identifier
1730946716
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01240027 Issued in FL
Practice address
18658 SW 100TH Ave
Cutler Bay, FL 33157-6939
Phone
(786) 278-7618
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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 F01240027 FL Primary

Addresses

Primary practice location

18658 SW 100TH Ave
Cutler Bay, FL 33157-6939

Mailing address

18658 SW 100TH Ave
Cutler Bay, FL 33157-6939
Phone (786) 278-7618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240620001508 NY Practitioner - Nurse Practitioner 4183167091 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01240027FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cityhealth Medical PC CurrentSince Aug 25, 2024 Accepting new patients
Urban Wellness Physicians, PLLC CurrentSince Aug 25, 2024 Accepting new patients
Queens Medical Office, P.C. CurrentSince Jun 10, 2024 Accepting new patients

Locations

1001 Newkirk Ave
Brooklyn, NY 11230
Phone (347) 240-6451

1349 Broadway
Brooklyn, NY 11221
Phone (425) 216-8810

4046 74th St
Elmhurst, NY 11373
Phone (718) 458-1515

8708 Justice Ave
Ste C8
Elmhurst, NY 11373
Phone (718) 424-0339

9033 Elmhurst Ave
Jackson Hts, NY 11372
Phone (718) 457-7000

8515 126th St
Kew Gardens, NY 11415
Phone (718) 924-2240

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16093/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1730946716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18658 SW 100TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576939",
            "telephone_number": "786-278-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18658 SW 100TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331576939",
            "telephone_number": "786-278-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBOS",
        "first_name": "DIANA",
        "middle_name": "NA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F01240027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.