Individual provider Active NPI

Dawn Marie Diaz, WHNP OR CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1952592602
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN131993 Issued in AZ
Practice address
3102 East Indian School Park
Suite 130 Gynecologic Solutions
Phoenix, AZ 85016-6872
Phone
(602) 252-0202
Fax
(602) 424-2053
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN131993 AZ Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP2110 AZ

Addresses

Primary practice location

3102 East Indian School Park
Suite 130 Gynecologic Solutions
Phoenix, AZ 85016-6872

Mailing address

3102 East Indian School Park
Suite 130
Phoenix, AZ 85016-6872
Phone (602) 252-0202

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP2110AZMDObstetrics & Gynecology Nurse Practitioner
RN131993AZMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1952592602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 EAST INDIAN SCHOOL PARK",
            "address_2": "SUITE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166872",
            "telephone_number": "602-252-0202",
            "fax_number": "602-424-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 EAST INDIAN SCHOOL PARK",
            "address_2": "SUITE 130 GYNECOLOGIC SOLUTIONS",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166872",
            "telephone_number": "602-252-0202",
            "fax_number": "602-424-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "WHNP OR CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "RN131993",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP2110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.