SARA DYANE DIAZ- INGRAM


Address: 6702 W Bethany Home Rd Ste 14, Glendale, AZ 85303-4402
Phone: 6234656345

SARA DYANE DIAZ- INGRAM (NPI# 1225597727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225597727
Entity Type Individual
Full Name SARA DYANE DIAZ- INGRAM
Credential DNP, FNP-C
Practice Address 6702 W Bethany Home Rd Ste 14
Glendale
AZ 85303-4402
Mailing Address 18641 W Cheryl Dr
Waddell
AZ 85355-4459
Practice Telephone 6234656345
Mailing Telephone 6023730932
Enumeration Date 2019-03-14
Last Update Date 2019-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN156316 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6702 W BETHANY HOME RD STE 14
City GLENDALE
State AZ
Zip Code 85303-4402

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1962050138 Karina Navarrete Specialist/Technologist 7418 W. Fleetwood Ln, Glendale, AZ 85303 2019-08-29
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1043688492 Karina Sosa Specialist/Technologist 7829 W San Miguel Avenue, Glendale, AZ 85303 2015-09-02
1437546462 Westwind Dental Glendale, Pllc Dentist 6740 W Camelback Road, Glendale, AZ 85303 2015-04-16
1336498906 Revival Home Care Assisted Living Facility 8269 W State Ave, Glendale, AZ 85303 2012-08-29
1700153707 Habiitation and Independant Living Inc Nursing Care 7304 N 82nd Ave, Glendale, AZ 85303 2011-11-19
1225160658 Kristy Beth Malecki Speech-Language Pathologist 7355 W Orangewood, Desert Spirit School, Glendale, AZ 85303 2007-03-12
1104980325 Sharon Yvonne Thompson Technician 7384 W Colter St, Glendale, AZ 85303 2006-12-21
1447772264 Bob Kabamba Behavior Technician 7136 N 73rd Dr, Gendale, AZ 85303 2017-07-13
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

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Competitor

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City GLENDALE
Zip Code 85303

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Dataset Information

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.

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