Roger Allen Diaz, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP143739 Issued in TX

Practice address

9440 Viscount Blvd Ste 100
El Paso, TX 79925-7054

Phone

(915) 249-6639

Fax

(915) 249-6695

NPI assigned

Apr 23, 2018

Last updated

Oct 29, 2019By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calming Spaces Mental HealthGroup PAC ID 0749714756, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Calming Spaces Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
  • NPI 1770312100
  Medicare reassignment Care Compare group NPD Authorized official
• Associated Behavioral and Trauma Specialties, LLC

  • Professional Counselor
  • El Paso, TX
  • NPI 1154740934
  Medicare reassignment NPD
• Leal Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
  • NPI 1356085674
  NPD
• Amanecer Community Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Anthony, NM
  • NPI 1669928982
  NPD (past)

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1811485154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 PAGASA PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322552",
            "telephone_number": "915-352-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 VISCOUNT BLVD STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257054",
            "telephone_number": "915-249-6639",
            "fax_number": "915-249-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ROGER",
        "middle_name": "ALLEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP143739",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "852557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING LICENSE",
            "identifier": "852557",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP143739",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Adriana Diaz, MD
• Nathaniel Diaz
• Noami Diaz, MD
• Patricia Caballero Diaz, M.ED.
• Robert Edwin Diaz, CRNA
• Susana Diaz
• Gloria Diaz, Tapia
• Thelma E Diaz, NP
• Valerie C Diaz, LPC-ASSOCIATE; LCDC
• Victor Diaz Jr.

• Psychiatric/Mental Health Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.