Glen Diaz, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0068622 Issued in OK

Practice address

3261 24TH Ave NW Ste 101
Norman, OK 73069-6666

Phone

(405) 364-6432

Fax

(405) 364-0090

NPI assigned

Oct 12, 2006

Last updated

Jul 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Premiere Pediatrics PLLC

  • Pediatrics Physician
  • Norman, OK
  • NPI 1043354228
  NPD Authorized official
• Norman Regional Hospital Authority

  dba Norman Regional

  • General Acute Care Hospital
  • Norman, OK
  • NPI 1700882578
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1780773952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 24TH AVE NW STE 2600",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696666",
            "telephone_number": "405-364-6432",
            "fax_number": "405-364-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 24TH AVE NW STE 101",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696666",
            "telephone_number": "405-364-6432",
            "fax_number": "405-364-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GLEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0068622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200053800A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dermatology and Cosmetic Center of Oklahoma, P.L.L.C.
• Derryberry Health PLLC (Derryberry Chiropractic)
• Ashlan Dewert
• Diagnostic Laboratory of Oklahoma LLC
• Dianne Chambers MD PC
• Sarah Elizabeth Diaz, RBT-23-301045
• Yvette Marie Diaz, MSW
• Tracy R Dickens, PH.D.
• Jennifer Hanley Dickerson, CNP
• Teresa Ann Dickinson

• Family Nurse Practitioner in Norman, OK
• Providers in Norman, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.