GLEN DIAZ (NPI# 1780773952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780773952 |
| Entity Type | Individual |
| Full Name | GLEN DIAZ |
| Credential | ARNP |
| Practice Address |
500 E Robinson St Suite 2600 Norman OK 73071-6697 |
| Practice Telephone | 4053646432 |
| Practice Fax Number | 4053640090 |
| Mailing Telephone | 4053646432 |
| Mailing Fax Number | 4053640090 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0068622 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200053800A | 05 |
| Street Address |
500 E ROBINSON ST SUITE 2600 |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-6697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162979 | Daphne Lynn Lashbrook | Specialist | 500 E Robinson St, Ste 2400, Norman, OK 73071-6671 | 2005-05-31 |
| 1851959423 | Kerri Leigh Tiedeman | Pharmacist | 500 E Robinson St, Norman, OK 73071-6697 | 2019-05-30 |
| 1982140349 | Blakeley Adair Hamit | Registered Nurse | 500 E Robinson St, Ste 2600, Norman, OK 73071-6697 | 2017-01-10 |
| 1669827861 | Erin Luttrell | Nurse Practitioner | 500 E Robinson St, Suite 2400, Norman, OK 73071-6697 | 2016-04-26 |
| 1861888414 | Brenda Kelley | Physician Assistant | 500 E Robinson St, Suite 300, Norman, OK 73071-6697 | 2015-04-10 |
| 1851784342 | Amber Scroggins | Nurse Practitioner | 500 E Robinson St, Suite 2400, Norman, OK 73071-6697 | 2015-03-09 |
| 1366831455 | Stephanie Porter | Physician Assistant | 500 E Robinson St, Suite 2300, Norman, OK 73071-6697 | 2015-01-13 |
| 1336543016 | Bethany Banakos | Nurse Practitioner | 500 E Robinson St, Ste 2600, Norman, OK 73071-6697 | 2014-10-09 |
| 1952718140 | Mudassir Nawaz M.d. Clinic | Nurse Practitioner | 500 E Robinson St, Suite 800, Norman, OK 73071-6697 | 2014-07-19 |
| 1538581384 | Glenroy Hines Jr. | Urology | 500 E Robinson St, Ste 1300, Norman, OK 73071-6697 | 2014-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730581 | Cynthia Nanett Smith | Nurse Practitioner | 3009 24th Ave Se, Norman, OK 73071-1731 | 2020-11-03 |
| 1942801246 | Preston Craig | Nurse Practitioner | 1114 Mockingbird Ln, Norman, OK 73071-4838 | 2020-11-03 |
| 1356958573 | Brent Christopher Lamb | Nurse Practitioner | 3304 Buckhorn Cir, Norman, OK 73072-2903 | 2020-09-30 |
| 1689281057 | Tara Lynn Bolerjack | Nurse Practitioner | 2405 Stonebridge Dr, Norman, OK 73071-1703 | 2020-09-29 |
| 1356959613 | Merideth Lea Yarbrough | Nurse Practitioner | 913 Shadowlake Rd, Norman, OK 73071-6843 | 2020-07-22 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1396379467 | Starla A Givens | Nurse Practitioner | 3440 Rc Luttrell Dr, Norman, OK 73072-9006 | 2020-02-27 |
| 1952949612 | Leslie Kelly | Nurse Practitioner | 6800 Day Dr, Norman, OK 73026-3203 | 2019-12-12 |
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1548819378 | Erin Fisher | Nurse Practitioner | 9908 Blackjack Trl, Norman, OK 73026-8273 | 2019-09-04 |
| Find all providers in NORMAN | ||||
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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.