Individual provider Active NPI

Andreina Del Pilar Fernandez Diaz

  • Behavior Technician
  • Zephyrhills, FL
National Provider Identifier
1962242545
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-318993 Issued in FL
Practice address
39339 Greenmeadow Dr
Zephyrhills, FL 33542-6777
Phone
(407) 914-8703
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-318993 FL Primary

Addresses

Primary practice location

39339 Greenmeadow Dr
Zephyrhills, FL 33542-6777

Mailing address

39339 Greenmeadow Dr
Zephyrhills, FL 33542-6777
Phone (407) 914-8703

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

State licenses

LicenseStateTypeSpecialty
RBT-23-318993FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1962242545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39339 GREENMEADOW DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335426777",
            "telephone_number": "407-914-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39339 GREENMEADOW DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335426777",
            "telephone_number": "407-914-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ DIAZ",
        "first_name": "ANDREINA",
        "middle_name": "DEL PILAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-318993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.