Active NPI
Grace Diaz, APRN
- Obstetrics & Gynecology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 9451596
- Practice address
- 1755 N Florida Ave
Lakeland, FL 33805-3109 - Phone
- (863) 680-7243
- NPI assigned
- Jan 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 9451596 | FL | Primary |
Addresses
Primary practice location
1755 N Florida Ave
Lakeland, FL 33805-3109
Mailing address
1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065
Phone (863) 680-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gdiaz28704@direct.watsonclinicad.com | Watson Clinic LLP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1755 N Florida Ave
Lakeland, FL 33805-3109
Phone (863) 904-6200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9451596 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watson Clinic LLP | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
1600 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7190
1430 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 680-7337
1755 N Florida Ave
Lakeland, FL 33805
Phone (863) 904-6200
Interoperability endpoints
- gdiaz28704@direct.watsonclinicad.com
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": "1769817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1982554721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053065",
"telephone_number": "863-680-7000",
"fax_number": "866-264-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 N FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053109",
"telephone_number": "863-680-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "GRACE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-31",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "9451596",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gdiaz28704@direct.watsonclinicad.com",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"affiliationName": "Watson Clinic LLP",
"address_1": "1430 Lakeland Hills Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338053202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.