Organization Active NPI

Diana Perez-Nunez, Aprn, Co

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1861091217
Registry record updated Oct 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DIANA PEREZ-NUNEZ, APRN, CO
Practice address
7320 E Fletcher Ave Ste 108
Tampa, FL 33637-0916
Phone
(561) 264-6370
Fax
(561) 461-6255
NPI assigned
Oct 17, 2020
Last updated
Oct 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2020

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

Authorized official

Name
Mrs. Diana Perez-Nunez, PMHNP-BC, FNP-CNPI 1609304450
Title
Aprn
Phone
(561) 843-0330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

7320 E Fletcher Ave Ste 108
Tampa, FL 33637-0916

Mailing address

23109 Old Inlet Bridge Dr
Boca Raton, FL 33433-6825
Phone (561) 843-0330

Other identifiers 1

IdentifierTypeStateIssuer
102504200MedicaidFL

National Provider Directory

National Provider Directory

Locations

7320 E Fletcher Ave
Ste 108
Tampa, FL 33637
Phone (561) 264-6370

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602892800000",
    "number": "1861091217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23109 OLD INLET BRIDGE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336825",
            "telephone_number": "561-843-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 E FLETCHER AVE STE 108",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336370916",
            "telephone_number": "561-264-6370",
            "fax_number": "561-461-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA PEREZ-NUNEZ, APRN, CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ-NUNEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "561-843-0330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102504200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.