NPIMap

Individual provider Active NPI

Thelma E Diaz, NP

  • Adult Health Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1740404862
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
584935 Issued in TX
Practice address
1626 Medical Center Dr Ste 400
4TH Floor
El Paso, TX 79902-5000
Phone
(915) 546-9200
Fax
(915) 546-9800
NPI assigned
Apr 12, 2007
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X AP107026 TX
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X AP107026 TX
Adult Health Nurse Practitioner 363LA2200X 584935 TX Primary

Addresses

Primary practice location

1626 Medical Center Dr Ste 400
4TH Floor
El Paso, TX 79902-5000

Mailing address

1626 Medical Center Dr Ste 400
4TH Floor
El Paso, TX 79902-5000
Phone (915) 546-9200

Other identifiers 4

IdentifierTypeStateIssuer
189774601MedicaidTX
189774603MedicaidTX
189774602MedicaidTX
189774604MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000588 TX Practitioner - Nurse Practitioner 7517064751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3270 Joe Battle Blvd
Suite 160
El Paso, TX 79938-2658
Phone (915) 832-2831

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP107026TXMDWound Care Registered Nurse
584935TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aliviane, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Southwest Collaborative Healthcare Solutions PLLC Undersea and Hyperbaric Medicine CurrentSince Apr 15, 2017 Accepting new patients
Gregory H Szeyko, MD, PA Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
Tenet Hospitals Limited PastSince Apr 15, 2017 Accepting new patients
El Paso Hospitalist Group PLLC Past Accepting new patients
Larissa a Szeyko, M D PLLC Past Accepting new patients
El Paso Physician Group PA Past Accepting new patients

Locations

1626 Medical Center Dr
Ste 400
El Paso, TX 79902
Phone (915) 546-9200

3270 Joe Battle Blvd
Ste 160
El Paso, TX 79938
Phone (915) 241-4397

3615 Rutherglen St
El Paso, TX 79925
Phone (915) 772-5400

4849 N Mesa St
Ste 201
El Paso, TX 79912

Organizations & group practices 8

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 3

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1740404862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 MEDICAL CENTER DR STE 400",
            "address_2": "4TH FLOOR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025000",
            "telephone_number": "915-546-9200",
            "fax_number": "915-546-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 MEDICAL CENTER DR STE 400",
            "address_2": "4TH FLOOR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025000",
            "telephone_number": "915-546-9200",
            "fax_number": "915-546-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "THELMA",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "AP107026",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "AP107026",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "584935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189774601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189774603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189774602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189774604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.