Individual provider Active NPI

Richard P Diaz, FNP, APRN-BC; PMHNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1942286901
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113929 Issued in TX
Practice address
6711 S New Braunfels Ave Ste 100
San Antonio, TX 78223-3002
Phone
(210) 531-8349
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 664132 TX
Family Nurse Practitioner 363LF0000X 332221 NY
Registered Nurse 163W00000X 475853 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP113929 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400612 NY
Family Nurse Practitioner 363LF0000X AP113929 TX Primary

Addresses

Primary practice location

6711 S New Braunfels Ave Ste 100
San Antonio, TX 78223-3002

Mailing address

8801 Carriage Dr
San Antonio, TX 78217-4637
Phone (210) 324-3619

Other identifiers 2

IdentifierTypeStateIssuer
203619602OtherTXMEDICARE TPI
13927411OtherTXTEXAS CAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20090422000254 TX Practitioner - Nurse Practitioner 9830246297 Reassigns benefits to 2 organizations
I20220413001524 NY Practitioner - Nurse Practitioner 9830246297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
475853NYMDRegistered Nurse
664132TXMDRegistered Nurse
332221NYMDFamily Medicine Physician
400612NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jul 7, 2020 Accepting new patients
Health and Human Services Commission CurrentSince Jul 16, 2018 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Metropolitan Center for Mental Health, Inc. CurrentSince Mar 18, 2022 Accepting new patients
Health and Human Services Commission CurrentSince Jul 16, 2018 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 7, 2020 Accepting new patients
Families and Individuals in Recovery CurrentSince Mar 18, 2022 Accepting new patients
Arbor Mental Health & Family Medical Center, LLC Family CurrentSince Sep 28, 2021 Accepting new patients
Omsrijas, LLC Past Accepting new patients
Omsrijas, LLC Past Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

6711 S New Braunfels Ave
Ste 1
San Antonio, TX 78223
Phone (210) 532-8811

6326 Sovereign St
Ste 160
San Antonio, TX 78229
Phone (210) 324-3619

6711 S New Braunfels Ave
Ste 100
San Antonio, TX 78223
Phone (210) 531-7805

Organizations & group practices 11

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1942286901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 CARRIAGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174637",
            "telephone_number": "210-324-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVE STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233002",
            "telephone_number": "210-531-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "RICHARD",
        "middle_name": "P",
        "name_prefix": "Prof.",
        "credential": "FNP, APRN-BC; PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "664132",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "332221",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "475853",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP113929",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400612",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TPI",
            "identifier": "203619602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CAQH",
            "identifier": "13927411",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.