Diane Lee Paolazzi, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R17952 Issued in NM

Practice address

435 Saint Michaels Dr Ste 104
Santa Fe, NM 87505-7672

Phone

(505) 372-1052

Fax

(505) 820-3172

NPI assigned

May 3, 2007

Last updated

Jan 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• X-Ray Associates of New Mexico PC

  • Diagnostic Radiology Physician
  • Albuquerque, NM
  • NPI 1235105800
  NPD
• Alamogordo Imaging Center LLC

  • Diagnostic Radiology Physician
  • Alamogordo, NM
  • NPI 1700852373
  NPD (past)
• St. Vincent Hospital

  dba CHRISTUS St. Vincent Plastics and Reconstruction Services

  • Plastic and Reconstructive Surgery Physician
  • Santa Fe, NM
  • NPI 1609218452
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1992927347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CONSTITUTION PL NE STE 202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107640",
            "telephone_number": "505-998-3096",
            "fax_number": "505-998-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR STE 104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057672",
            "telephone_number": "505-372-1052",
            "fax_number": "505-820-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLAZZI",
        "first_name": "DIANE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "R17952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF NURSING",
            "identifier": "CNP00250",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "R17952",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panache Health Care LLC
• Arthur Panaro, LPCC
• Sze Kim Pang, MD
• Eliezer R Pangan, CFNP
• Emily Salimbangon Pangandoyon
• John E Papastathis, RN
• Lisa M Paradis, LPCC
• Emily Katherine Parchman, LMHC
• Jude Pardee, PHD
• Cleveland Hendrick Pardue III, MD

• Nurse Practitioner in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.