Individual provider Active NPI

Jeerika Diaz

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1801482260
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11010296 Issued in FL
Practice address
9753 S Orange Blossom TRL Ste 101
Orlando, FL 32837-8998
Phone
(407) 942-8555
Fax
(407) 987-3758
NPI assigned
Dec 18, 2020
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 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 APRN11010296 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11010296 FL Primary

Addresses

Primary practice location

9753 S Orange Blossom TRL Ste 101
Orlando, FL 32837-8998

Mailing address

9753 S Orange Blossom TRL Ste 101
Orlando, FL 32837-8998
Phone (407) 942-8555

Other identifiers 1

IdentifierTypeStateIssuer
109715500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210421001254 FL Practitioner - Nurse Practitioner 4385052810 Reassigns benefits to 2 organizations
I20260505003401 DC Practitioner - Nurse Practitioner 4385052810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Mind Behavioral Clinic Psychiatric/Mental Health Current Accepting new patients
Compass Counseling Services, LLC CurrentSince May 9, 2022 Accepting new patients
Sound Mind Behavioral Health Psychiatric/Mental Health CurrentSince Nov 11, 2024 Accepting new patients
Compass Counseling Services,LLC Past Accepting new patients

Locations

1400 N Semoran Blvd
Orlando, FL 32807
Phone (407) 823-8421

1400 N Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 823-8421

9753 S Orange Blossom Trl
Ste 101
Orlando, FL 32837
Phone (407) 942-8555

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1801482260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378998",
            "telephone_number": "407-942-8555",
            "fax_number": "407-987-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378998",
            "telephone_number": "407-942-8555",
            "fax_number": "407-987-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JEERIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010296",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11010296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109715500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.