Individual provider Active NPI

Jose Diaz, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Garfield Heights, OH
National Provider Identifier
1851870588
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.023277 Issued in OH
Practice address
5404 E 135TH St
Garfield Heights, OH 44125-3214
Phone
(216) 475-5863
NPI assigned
Aug 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 APRN.CNP.023277 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.023277 OH Primary

Addresses

Primary practice location

5404 E 135TH St
Garfield Heights, OH 44125-3214

Mailing address

PO Box 25245
Garfield Heights, OH 44125-0245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20210115002101 OH Practitioner - Nurse Practitioner 5698188472 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023277OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laurelwood Associates Inc CurrentSince Jun 10, 2025 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

35900 Euclid Ave
Willoughby, OH 44094
Phone (440) 953-3000

Interoperability endpoints

  • Direct secure messaging: jdiaz204579@direct.metrohealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1851870588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25245",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441250245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 E 135TH ST",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441253214",
            "telephone_number": "216-475-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JOSE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023277",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.023277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

Verify at the official NPI Registry.