Tinae G Diaz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024176230 Issued in VA

Practice address

120 Anderson Ave
Bowling Green, VA 22427-9401

Phone

(804) 633-4839

Fax

(804) 633-7309

NPI assigned

Aug 23, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.76 of 100Reported as group

Quality

79.46

Improvement activities

40

Cost

66.9

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Virginia Internal Medicine Inc

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1740525245

  DC

  Medicare reassignment Care Compare group NPD
• Atlantic Healthcare Services LLC

  • Nurse Practitioner
  • Roanoke, VA
  • NPI 1912491739
  Medicare reassignment NPD
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  VA

  Medicare reassignment NPD
• Virginia Internal Medicine, PC and Urgent Care Services, Inc.

  • Primary Care Clinic/Center
  • Annandale, VA
  • NPI 1679800619
  NPD (past)

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1891342853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ANDERSON AVE",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224279401",
            "telephone_number": "804-633-4839",
            "fax_number": "804-633-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ANDERSON AVE",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224279401",
            "telephone_number": "804-633-4839",
            "fax_number": "804-633-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "TINAE",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Virginia Health Services Inc
• Katherine Anna Collins, R.PH.
• Michelle Kirsten Conely, PHARMD
• Core Dentistry LLC
• Stephen Crouch
• Douglas Avery & Associates LTD
• Samiya Foxx
• Taylor N Futrell
• Laura Elezabeth Gambill
• Paul T Harvey, MD

• Family Nurse Practitioner in Bowling Green, VA
• Providers in Bowling Green, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.