GERARDO DIAZ (NPI# 1861850695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861850695 |
| Entity Type | Individual |
| Full Name | GERARDO DIAZ |
| Credential | NP |
| Practice Address |
808 N 3rd St Goshen IN 46528 |
| Mailing Address |
808 N 3rd St Goshen IN 46528-7100 |
| Practice Telephone | 5745340088 |
| Practice Fax Number | 5749718434 |
| Mailing Telephone | 5745340088 |
| Mailing Fax Number | 5749718434 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71006047A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Navarre Pl, Suite 6600, South Bend, IN 466011156 | 5742327227 | 5742322064 |
| 213 Middlebury St, Goshen, IN 465282956 | 5745343300 | 5745345412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235370289 | Gerardo Diaz | Pediatrics | 4305 E 8th Ave Ste C, Hialeah, FL 33013-2465 | 2009-03-19 |
| 1245720366 | Gerardo Jose Diaz | Behavior Technician | 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207-8107 | 2018-05-14 |
| Street Address |
808 N 3RD ST |
| City | GOSHEN |
| State | IN |
| Zip Code | 46528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061207 | Evelyn B. King | Dietitian, Registered | 808 N 3rd St, Goshen, IN 46528-7100 | 2005-05-24 |
| 1619324126 | Rebecca E Johnson | Registered Nurse | 808 N 3rd St, Goshen, IN 46528 | 2016-05-16 |
| 1891181517 | Maple City Health Care Center, Inc. | Clinic/Center | 808 N 3rd St, Goshen, IN 46528-7100 | 2015-04-09 |
| 1124464375 | Emily Welch | Social Worker | 808 N 3rd St, Goshen, IN 46528 | 2013-05-15 |
| 1962764753 | Stephen David Harmon | Family Medicine | 808 N 3rd St, Goshen, IN 46528 | 2012-06-08 |
| 1669642229 | Susanne Walker Graham | Counselor | 808 N 3rd St, Goshen, IN 46528 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972981140 | Brett Dyer | Nurse Anesthetist, Certified Registered | 20208 Deer Path Ct., Goshen, IN 46528 | 2015-05-08 |
| 1831490275 | Renee Danielle Gilligan | Physical Therapy Assistant | 57078 Appaloosa Court, Goshen, IN 46528 | 2010-11-16 |
| 1760620090 | Lisa A Levin | Social Worker | 330 Lakeview Drive, Goshen, IN 46528 | 2009-01-23 |
| 1346319290 | Martin's Super Market | Pharmacy | 1527 Bashor Road, Goshen, IN 46528 | 2006-11-07 |
| 1609977628 | Adams County Memorial Hospital | Skilled Nursing Facility | 2400 College Avenue, Goshen, IN 46528 | 2006-09-25 |
| 1336196591 | Carolin K. Marzouk | Nurse Practitioner | 213 Middlebury Street, Goshen, IN 46528 | 2006-05-31 |
| 1235185513 | Open and Wide Mri LLC | Radiology | 2856 Eisenhower Dr N., Suite 1, Goshen, IN 46528 | 2006-05-26 |
| 1407341233 | Leah Kathryn Richardson | Registered Nurse | 213 Middlebury St, Goshen, IN 46528 | 2018-06-25 |
| 1508257619 | Holli Elizabeth Perrin | Behavioral Analyst | 203 N 5th St, Goshen, IN 46528 | 2015-02-11 |
| 1225426273 | Gretchen Marie Sauder | Nurse Practitioner | 213 Middlebury St, Goshen, IN 46528 | 2014-12-29 |
| Find all providers in zip 46528 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578194262 | Alyssa N Yoder | Nurse Practitioner | 1135 Professional Dr, Goshen, IN 46526-3800 | 2020-01-31 |
| 1598198673 | Todd W Haney | Nurse Practitioner | 2824 Elkhart Road, Goshen, IN 46526-1014 | 2013-08-13 |
| 1851550115 | Tracy Lynn Vander Reyden | Nurse Practitioner | 2006 S Main St Ste A, Goshen, IN 46526-5232 | 2008-06-03 |
| 1861465197 | Anne Love | Nurse Practitioner | 1814 Charlton Ct Ste A, Goshen, IN 46526-6463 | 2006-02-08 |
| 1851364384 | Kathleen D Meier | Nurse Practitioner | 1130 Professional Dr, Goshen, IN 46526-3819 | 2006-02-07 |
| 1295336642 | Marlise Ann Webber | Nurse Practitioner | 200 High Park Ave, Goshen, IN 46526-4810 | 2020-11-03 |
| 1346854486 | Jennifer Leigh Mcqueary | Nurse Practitioner | 6722 State Route 132, Goshen, OH 45122-9249 | 2020-09-05 |
| 1457822868 | Katherine O'toole | Nurse Practitioner | 2417 S Berkshire Rd, Goshen, IN 46526-6815 | 2018-12-10 |
| 1336625409 | Melissa Larson | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526-4673 | 2018-07-12 |
| 1023502689 | Kendall Hochstedler | Nurse Practitioner | 213 Middlebury St, Goshen, IN 46528-2956 | 2018-06-18 |
| Find all providers in GOSHEN | ||||
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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.