Individual provider Active NPI

Jennifer Jane Whirley-Diaz, MD

  • Specialist
  • Carmel, IN
National Provider Identifier
1861733685
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01071198A Issued in IN
Practice address
2000 E 116TH St Ste 102
Carmel, IN 46032-3581
Phone
(317) 564-4464
Fax
(317) 564-4469
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01071198A IN Primary

Addresses

Primary practice location

2000 E 116TH St Ste 102
Carmel, IN 46032-3581

Mailing address

2000 E 116TH St Ste 102
Carmel, IN 46032-3581
Phone (317) 564-4464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01071198AINMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown, Davila, Khan, Maza, Ruiz & Whirley-Diaz, M.D.'S, P.a. PastSince Sep 15, 2019 Accepting new patients

Organizations & group practices 1

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": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1861733685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E 116TH ST STE 102",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323581",
            "telephone_number": "317-564-4464",
            "fax_number": "317-564-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 116TH ST STE 102",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323581",
            "telephone_number": "317-564-4464",
            "fax_number": "317-564-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIRLEY-DIAZ",
        "first_name": "JENNIFER",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01071198A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.