MRS. LATANE DIAZ (NPI# 1255895710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255895710 |
| Entity Type | Individual |
| Full Name | MRS. LATANE DIAZ |
| Credential | RN |
| Practice Address |
597 Brigham Trl Augusta GA 30909-6060 |
| Practice Telephone | 7062889256 |
| Mailing Telephone | 7062889256 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
21130 | GA | Nursing Service Providers |
| Street Address |
597 BRIGHAM TRL |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245336114 | Loree Ruth Howe | Registered Nurse | 71 Hospital St, Augusta, ME 04330-6617 | 2006-09-16 |
| 1083221337 | Olusola Zainab Ajala | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2020-09-29 |
| 1831737931 | Jessica Welichko | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2019-12-19 |
| 1831565647 | Mary Barnes | Registered Nurse | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2015-08-15 |
| 1922326248 | Karen C Greenleaf | Registered Nurse | 66 Stone St, Augusta, ME 04330-5227 | 2010-05-11 |
| 1174617476 | Elisabeth M. Young | Registered Nurse | 71 Hospital St, Augusta, ME 04330-6617 | 2006-10-03 |
| 1427154392 | Diane Palmer-angelo | Registered Nurse | 71 Hospital St, Augusta, ME 04330-6617 | 2006-09-16 |
| 1992801724 | Scott R Greaney | Registered Nurse | 71 Hospital St, Augusta, ME 04330-6617 | 2006-09-16 |
| 1295742062 | Elaine Maclin Chisholm | Registered Nurse | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-08-02 |
| 1487678496 | Patricia Ann Brooks | Registered Nurse | 1 Freedom Way, Augusta, GA 30904-6258 | 2006-07-26 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.