Anita Diaz, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

13005 Issued in FL

Practice address

1 Unf Dr BLDG 61
Jacksonville, FL 32224-2645

Phone

(904) 620-5223

NPI assigned

Jul 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waves of Hope Eating Disorder Care Center LLC

  • Adult Mental Health Clinic/Center
  • Jacksonville Beach, FL
  • NPI 1396506655
  NPD (past)

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1851129175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ASCEND CIR APT 8203",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNF DR BLDG 61",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242645",
            "telephone_number": "904-620-5223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7807 Baymeadows Rd E Ste 402",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322569668",
            "country_code": "US",
            "telephone_number": "904-799-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ANITA",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "13005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Diaz Milian, MD
• Yohan Diaz Zuniga
• Paul Diaz-Granados
• Carlos M Diaz-Lazaro, PH.D.
• Karina A Diaz-Orengo
• Bryanna Diaz, PA-C
• Constantino Diaz, MD
• Erik Diaz, MD
• Ermanette Diaz
• Jesus Antonio Diaz, MD

• Registered Dietitian in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.