MS. BRENDA MAY DIAZ (NPI# 1306447909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306447909 |
| Entity Type | Individual |
| Full Name | MS. BRENDA MAY DIAZ |
| Credential | (SAC-IT) |
| Practice Address |
2240 Prairie Ave Beloit WI 53511-2648 |
| Practice Telephone | 6083617200 |
| Practice Fax Number | 6083617201 |
| Mailing Telephone | 6083617200 |
| Mailing Fax Number | 6083617201 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
19299-130 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003102591 | Brenda Diaz | Registered Nurse | 3125 Onyx Ct, Orlando, FL 32806-6243 | 2011-06-22 |
| 1114168655 | Brenda Diaz | Occupational Therapist | 8930 Sw 198th Ter, Cutler Bay, FL 33157-8970 | 2009-03-12 |
| 1235313651 | Brenda Diaz | Registered Nurse | 1337 W Braden Ct, Orange, CA 92868-1123 | 2007-12-20 |
| 1285283788 | Brenda Guadalupe Diaz | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2019-09-06 |
| 1093369688 | Brenda Diaz | Behavior Technician | 2360 Irving St, San Francisco, CA 94122-1621 | 2019-07-31 |
| 1225484199 | Brenda Diaz | Specialist/Technologist | 11024 N 28th Dr Ste 140, Phoenix, AZ 85029-4335 | 2016-05-10 |
| 1942480421 | Brenda Diaz | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2007-11-13 |
| 1598961971 | Brenda Diaz | Clinical Nurse Specialist | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2007-06-22 |
| 1477756690 | Brenda Maria Diaz | Marriage & Family Therapist | 1126 N Grand Ave, Suite D, Covina, CA 91724-1551 | 2007-06-06 |
| 1972672913 | Brenda Lucrecia Diaz | Registered Nurse | 700 S Tustin St, Orange, CA 92866-3425 | 2006-11-06 |
| Street Address |
2240 PRAIRIE AVE |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275787889 | Latoya Marie White | Licensed Practical Nurse | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2008-11-10 |
| 1891393658 | Kwamesha Mone' Milsap | Licensed Practical Nurse | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-10-14 |
| 1134747009 | Breanna Elizabeth Adams | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-07-08 |
| 1376160937 | Dori Martinez | Registered Nurse | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-06-30 |
| 1316562309 | Steven Thomas Koester | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-06-15 |
| 1750949939 | Tracie Dill | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2019-06-03 |
| 1992360531 | Angela Pennell | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2019-05-09 |
| 1124682679 | Kristina Renee Stanis | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2019-04-30 |
| 1770052326 | Pamela C Long | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2018-11-13 |
| 1831685619 | Laura Ann Woodberry | Registered Nurse | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2018-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518477660 | Audrey Elaine Marchillo | Counselor | 3447 Bee Ln, Beloit, WI 53511-1901 | 2017-10-03 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1154663375 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 1850 Cranston Rd, Beloit, WI 53511-2544 | 2013-03-26 |
| 1750621504 | Nancy Richardson | Counselor | 2627 Kadlec Dr, Beloit, WI 53511-6627 | 2013-02-14 |
| 1922345933 | Tonya G Ramsey | Counselor | 250 Garden Ln, Ste 106, Beloit, WI 53511-6168 | 2013-01-10 |
| 1285954065 | Joanne Roberts | Counselor | 1919 Chippewa Trl, Beloit, WI 53511-3819 | 2010-06-03 |
| 1235316381 | Bradley Ray Hawbecker | Counselor | 2240 Praire Ave, 10, Beloit, WI 53511-2940 | 2008-01-30 |
| 1629007877 | Mark W Rothfuss | Counselor | 207 N Mill St Ste 5, Beloit, KS 67420 | 2006-07-01 |
| 1134747009 | Breanna Elizabeth Adams | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-07-08 |
| Find all providers in BELOIT | ||||
Please comment or provide details below to improve the information on MS. BRENDA MAY DIAZ.
| 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.