Individual provider Active NPI

Damian Oniel Diaz, FNP

  • Family Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1952884074
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9363120 Issued in FL
Practice address
12220 Cortez Blvd
Brooksville, FL 34613-2631
Phone
(352) 556-5216
NPI assigned
Sep 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9363120 FL Primary

Addresses

Primary practice location

12220 Cortez Blvd
Brooksville, FL 34613-2631

Mailing address

10040 Heathcliff St
Spring Hill, FL 34608-5750
Phone (352) 606-8648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181220001336 FL Practitioner - Nurse Practitioner 5193060036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care One of Florida LLCGroup PAC ID 5496752347, 14 clinicians

Practice addresses (Care Compare)

12220 Cortez Blvd
Brooksville, FL 34613-2631
Phone (352) 556-5216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9363120FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care One of Florida LLC CurrentSince Sep 15, 2018 Accepting new patients

Locations

12220 Cortez Blvd
Brooksville, FL 34613
Phone (352) 556-5216

7117 State Road 52
Hudson, FL 34667
Phone (727) 866-2128

11115 County Line Rd
Spring Hill, FL 34609
Phone (352) 666-9990

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1952884074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10040 HEATHCLIFF ST",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346085750",
            "telephone_number": "352-606-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132631",
            "telephone_number": "352-556-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DAMIAN",
        "middle_name": "ONIEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9363120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.