KIM DIAZ (NPI# 1588184139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588184139 |
Entity Type | Individual |
Full Name | KIM DIAZ |
Practice Address |
5717 S Anthony Blvd Ste 200 Fort Wayne IN 46806-3300 |
Practice Telephone | 2604252680 |
Practice Fax Number | 2604252681 |
Enumeration Date | 2017-06-26 |
Last Update Date | 2017-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
28149783A | IN | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265771836 | Kim Diaz | Occupational Therapist | 8043 Mount Ranier Dr, Jacksonville, FL 32256-2908 | 2013-02-02 |
1366623639 | Kim I Diaz | Physician Assistant | 20821 Us Hwy 281 North, Suite 122, San Antonio, TX 78258-7595 | 2007-11-15 |
Street Address |
5717 S ANTHONY BLVD STE 200 |
City | FORT WAYNE |
State | IN |
Zip Code | 46806-3300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841574829 | Daniel E Purvis Jr. | Pharmacist | 222 E Pettit Avenue, Fort Wayne, IN 46806 | 2011-10-07 |
1558645754 | Logan M Franke | Pharmacist | 222 E Pettit Ave, Fort Wayne, IN 46806 | 2011-10-06 |
1356513725 | Seazoned Med Transportation Service | Non-emergency Medical Transport (VAN) | 2809 Smith Street, Fort Wayne, IN 46806 | 2008-03-26 |
1376711267 | Hector F Perez Md PC | Family Medicine | 5717 So Anthony, Ste 500, Fort Wayne, IN 46806 | 2008-02-14 |
1326249376 | Purdue University | Dentist | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-05-29 |
1174657480 | Robert Anthony Ford | Case Manager/Care Coordinator | 525 Oxford St., Fort Wayne, IN 46806 | 2007-03-16 |
1508069972 | Indiana University | Clinic/Center | 2700 South Lafayette Street, Fort Wayne, IN 46806 | 2007-06-06 |
1669622403 | Sally J Hartman | Nurse Practitioner | 2700 S Lafayette St, Suite 200, Fort Wayne, IN 46806-1100 | 2008-09-30 |
1003099441 | Lafayette Foot and Ankle Clinic | Podiatrist | 2700 Lafayette St Ste 230, Fort Wayne, IN 46806-1100 | 2007-12-07 |
1033259197 | V E Butler and Associates PC | Pharmacist | 2700 S. Lafayette St, Communitycare Pharmacy, Fort Wayne, IN 46806-1100 | 2007-02-07 |
Find all providers in zip 46806 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407460876 | Deborah K. Harvey | Registered Nurse | 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 | 2020-09-03 |
1881109296 | Joanne E Ladowski | Registered Nurse | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2017-12-07 |
1922556752 | Carole E. Slater | Registered Nurse | 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 | 2016-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447873682 | Shelley E Kestler | Registered Nurse | One Memorial Square, Suite 2200, Greenfield, IN 46140-1378 | 2020-05-22 |
1588175921 | Darla Jean Healy | Registered Nurse | 6330 E 75th St Ste 174, Indianapolis, IN 46250-2781 | 2017-10-12 |
1417474214 | Sherry Lynn Doherty | Registered Nurse | 1855 S Main St Ste C, Goshen, IN 46526-4853 | 2017-08-23 |
1679939078 | Emily Walker | Registered Nurse | 100 Tharp Street Suite B, Washington, IN 47501 | 2016-01-14 |
1235502774 | Hook-superx, L.L.C. | Registered Nurse | 600 E Boonville New Harmony Rd, Evansville, IN 47725 | 2015-11-05 |
1053732552 | Tracy Michelle Tucker | Registered Nurse | 2307 Laporte Ave Ste 8, Valparaiso, IN 46383-6997 | 2013-12-30 |
1144478165 | Linda Darlene Stroud | Registered Nurse | 1500 E Michigan St, Indianapolis, IN 46201-3079 | 2008-09-03 |
1235320540 | Diabetes Association of St Joseph County Inc | Registered Nurse | 6910 North Main St, Building 9, Granger, IN 46530 | 2007-08-05 |
1043341696 | Margie Anne Hull | Registered Nurse | 1111 Middle Dr, Nu #446d, Indianapolis, IN 46202-5243 | 2007-03-07 |
1295761716 | Hook-superx, L.L.C. | Registered Nurse | 3700 1st Ave, Evansville, IN 47710-3324 | 2006-06-25 |
Find all providers with the same taxonomy |
City | FORT WAYNE |
Zip Code | 46806 |
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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.