ANGELA J DIAZ (NPI# 1225345754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225345754 |
| Entity Type | Individual |
| Full Name | ANGELA J DIAZ |
| Credential | DNP, FNP |
| Practice Address |
3551 Roger Brooke Dr Fort Sam Houston TX 78234-4504 |
| Mailing Address |
8522 Wild Trce Garden Ridge TX 78266-2219 |
| Practice Telephone | 2105366339 |
| Mailing Telephone | 2102405724 |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
664616 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 219240301 | 05 | |
| TX | CSHCN | 219240302 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4502 Medical Dr, San Antonio, TX 782294402 | 2103582078 | 2103581972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538641790 | Angela Diaz | Early Intervention Provider Agency | 22 Skidmore Pl, Valley Stream, NY 11581-2918 | 2018-09-04 |
| 1891181087 | Angela Diaz | Specialist/Technologist | 9604 Caminito Tizona, San Diego, CA 92126-4103 | 2015-04-14 |
| 1376882308 | Angela Diaz | Registered Nurse | 157 Cougar Dr, West Columbia, SC 29169-4794 | 2013-02-12 |
| 1053413898 | Angela Andrea Diaz | Physician Assistant | 14362 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2006-09-02 |
| 1528677846 | Angela Kaye Diaz | Licensed Vocational Nurse | 3708 20th St Ste A, Lubbock, TX 79410-1228 | 2020-07-23 |
| 1982985941 | Angela Maria Diaz | Dentist | 5830 Harrison Rd, Fredericksburg, VA 22407-4202 | 2011-09-05 |
| 1710129390 | Angela Lynn Diaz | Physical Therapist | 615 Spring Forest Rd, Raleigh, NC 27609-9150 | 2009-03-30 |
| 1124067889 | Angela G Diaz | Nurse Anesthetist, Certified Registered | 700 W Oak Street, Kissimmee, FL 34741-4996 | 2006-06-06 |
| Street Address |
3551 ROGER BROOKE DR |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093338 | Aneesh N/a Benoy | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-11-02 |
| 1164021580 | William Edward Vick | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-19 |
| 1548868003 | Julia D Coffey | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-15 |
| 1801493465 | Emiri Elliott | Registered Nurse | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-07 |
| 1437756574 | Clarence Michael Sullivan | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-10-01 |
| 1093320350 | Natalie Marie Greene | Physical Therapist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-09-14 |
| 1033722509 | Kody Vallejo | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-25 |
| 1558972620 | Renee Therese Hart | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-12 |
| 1235749722 | Emily Ann Robinson | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-09 |
| 1902415367 | Hannah Daniel | Pharmacist | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902117419 | Jean Marie Barido | Nurse Practitioner | Bamc-3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2010-06-30 |
| 1154425643 | Jeannine Cecile Kouzel | Nurse Practitioner | 2991 Garden Ave Bldg 1279, Fort Sam Houston, TX 78234-7598 | 2006-09-12 |
| 1699756494 | Mary Agnes Uttermohlen | Nurse Practitioner | 3100 Scofield Road #1179, Fort Sam Houston Primary Care Clinic, Fort Sam Houston, TX 78234 | 2005-11-09 |
| 1356331003 | Curtis Aberle | Nurse Practitioner | Brooke Army Medical Center Mche-qd/ Credentials, 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-6200 | 2005-10-25 |
| 1861093338 | Aneesh N/a Benoy | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-11-02 |
| 1558972620 | Renee Therese Hart | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-12 |
| 1235749722 | Emily Ann Robinson | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-08-09 |
| 1972111052 | June Struder | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-07-15 |
| 1780144113 | Lofton Blaine Morrison | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-03-21 |
| 1174089965 | Jennica Lisette Colon | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-02-16 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
Please comment or provide details below to improve the information on ANGELA J 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.