LAURA E. DIAZ (NPI# 1770149726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770149726 |
| Entity Type | Individual |
| Full Name | LAURA E. DIAZ |
| Credential | MSN-FNP |
| Practice Address |
3923 Old Lee Hwy Ste 61a Fairfax VA 22030-2428 |
| Mailing Address |
5301 Poplar Valley Ct Centreville VA 20120-6101 |
| Practice Telephone | 7033599200 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024176339 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525674 | Laura Yaquelin Diaz | Behavior Technician | 636 Beech Rd, West Palm Beach, FL 33409-6110 | 2020-07-20 |
| 1053760876 | Laura Diaz | Behavioral Analyst | 2601 Sw 19th Ter, Miami, FL 33145-2521 | 2016-06-13 |
| 1619335775 | Laura Diaz | Counselor | 4510 Merced Ave # A, Baldwin Park, CA 91706-2311 | 2016-02-04 |
| 1427199660 | Laura I Diaz | Pharmacist | Farmacia Luis De P.r.,centro Comercial Laguna Gardens, Carolina, PR 00979 | 2007-02-09 |
| 1215400601 | Laura Diaz | Nurse Practitioner | 24608 Kingsland Blvd, Katy, TX 77494-3386 | 2019-01-08 |
| 1649775529 | Laura Diaz | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St # L17, Jacksonville, FL 32209-6511 | 2018-03-24 |
| 1720593288 | Laura M Diaz | Pediatrics | 346 South Ave, Fanwood, NJ 07023-1373 | 2017-12-06 |
| 1083138952 | Laura Stefany Diaz | Counselor | 10001 Grand Ave, Franklin Park, IL 60131-2563 | 2017-08-01 |
| 1154852119 | Laura Quater Diaz | Nurse Practitioner | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2017-03-22 |
| 1770032864 | Laura Diaz | Nurse Practitioner | 560 1st Ave, New York, NY 10016-6402 | 2016-09-29 |
| Street Address |
3923 OLD LEE HWY STE 61A |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144147 | Emily Turner | Nurse Practitioner | 1099 Main St, Fairfax, VT 05454-9529 | 2020-11-06 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| 1578160198 | Northern Virginia Holistic Primary Care | Nurse Practitioner | 10304 Eaton Pl Ste 100, Fairfax, VA 22030-2238 | 2020-10-06 |
| 1821606377 | Lindsay Ann Bruno | Nurse Practitioner | 2921 District Ave Apt 504, Fairfax, VA 22031-2334 | 2020-07-21 |
| 1013534106 | Natalia Castro | Nurse Practitioner | 12817 Hamlet Hill Way, Fairfax, VA 22030-7250 | 2020-07-06 |
| 1629601448 | Lia Hoa Van | Nurse Practitioner | 3811 Glenbrook Rd, Fairfax, VA 22031-3105 | 2020-02-20 |
| 1043850175 | Olga Michelle Zaiter | Nurse Practitioner | 2740 Prosperity Ave Ste 100, Fairfax, VA 22031-4354 | 2020-01-07 |
| 1821650177 | Evelyne Kingori | Nurse Practitioner | 3022 Javier Rd Ste 105a, Fairfax, VA 22031-4646 | 2019-07-07 |
| 1295253102 | Mildred J Medrano | Nurse Practitioner | 9229 Arlington Arlington Blvd., Fairfax, VA 22031 | 2017-08-31 |
| 1629508494 | Rena Kalter | Nurse Practitioner | 3903 Fair Ridge Dr Ste 218, Fairfax, VA 22033-2945 | 2017-06-14 |
| Find all providers in FAIRFAX | ||||
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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.