Stefanie D Pisano Diaz, MSN, APRN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11014710 Issued in FL

Practice address

5210 Webb Rd
Tampa, FL 33615-4518

Phone

(813) 882-9986

Fax

(813) 882-9849

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spisanodiaz@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1932876083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154518",
            "telephone_number": "813-882-9986",
            "fax_number": "813-341-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154518",
            "telephone_number": "813-882-9986",
            "fax_number": "813-882-9849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13321 N 56th St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336171161",
            "country_code": "US",
            "telephone_number": "813-341-1488",
            "fax_number": "813-341-1489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 2nd Ave SW Fl 5",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703120",
            "country_code": "US",
            "telephone_number": "727-935-0500",
            "fax_number": "727-935-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PISANO DIAZ",
        "first_name": "STEFANIE",
        "middle_name": "D",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111998400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.