Individual provider Active NPI

Paula T Diaz, MA

  • Reflexologist
  • Greenacres, FL
National Provider Identifier
1912281908
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MA 62427 Issued in FL
Practice address
6023 10TH Ave N Apt 215
Greenacres, FL 33463-1657
Phone
(561) 541-1210
NPI assigned
Oct 7, 2011
Sex
Female
Sole proprietor
Yes

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
MA 62427FLMDReflexologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X MA 62427 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

6023 10TH Ave N Apt 215
Greenacres, FL 33463-1657

Mailing address

6023 10TH Ave N Apt 215
Greenacres, FL 33463-1657
Phone (561) 541-1210

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
MA 62427OtherFLMASSAGE THERAPIST

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2011.

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1912281908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 10TH AVE N APT 215",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334631657",
            "telephone_number": "561-541-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6023 10TH AVE N APT 215",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334631657",
            "telephone_number": "561-541-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "PAULA",
        "middle_name": "T",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MA 62427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "MA 62427",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.