Individual provider Active NPI

Yanet Diaz Peraza, RN

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1790285575
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1110342 Issued in TX
Practice address
18619 Mosshill Estates LN
Cypress, TX 77429-4605
Phone
(832) 830-4580
NPI assigned
Feb 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 919950 TX
Family Nurse Practitioner 363LF0000X 1110342 TX Primary

Addresses

Primary practice location

18619 Mosshill Estates LN
Cypress, TX 77429-4605

Mailing address

18619 Mosshill Estates LN
Cypress, TX 77429-4605
Phone (832) 830-4580

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
919950TXMDRegistered Nurse
1110342TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1518912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1790285575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18619 MOSSHILL ESTATES LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294605",
            "telephone_number": "832-830-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18619 MOSSHILL ESTATES LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294605",
            "telephone_number": "832-830-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ PERAZA",
        "first_name": "YANET",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-18",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "919950",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1110342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.