Individual provider Active NPI

Diego Leonardo Zapata Grisales, APRN

  • Primary Care Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1871252379
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN9428025 Issued in FL
Practice address
18503 Pines Blvd Ste 311
Pembroke Pines, FL 33029-1406
Phone
(544) 992-5059
Fax
(855) 770-4383
NPI assigned
Dec 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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 RN9428025 FL
Primary Care Nurse Practitioner 363LP2300X RN9428025 FL Primary

Addresses

Primary practice location

18503 Pines Blvd Ste 311
Pembroke Pines, FL 33029-1406

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (865) 303-8207

Other names 1

  • Diego L Zapata Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Diegoleonardo90@hotmail.com
CONNECT URL Diegoleonardo90@hotmail.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9428025FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC PastSince Feb 15, 2022 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": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1871252379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "865-303-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 311",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291406",
            "telephone_number": "544-992-5059",
            "fax_number": "855-770-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPATA GRISALES",
        "first_name": "DIEGO",
        "middle_name": "LEONARDO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-12",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9428025",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "RN9428025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Diegoleonardo90@hotmail.com",
            "affiliation": "N",
            "address_1": "6347 NW 39th Ct",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330673212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Diegoleonardo90@hotmail.com",
            "affiliation": "N",
            "address_1": "11182 royal palm blvd",
            "city": "Coral springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIEGO",
            "last_name": "ZAPATA",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.