TRISTAN DIAZ (NPI# 1487127031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487127031 |
| Entity Type | Individual |
| Full Name | TRISTAN DIAZ |
| Other Name | TRISTAN GREEN |
| Credential | FNP |
| Practice Address |
975 Hall St Wiggins MS 39577-2107 |
| Mailing Address |
Po Box 1007 Lucedale MS 39452-1007 |
| Practice Telephone | 6015289119 |
| Practice Fax Number | 6015289193 |
| Mailing Telephone | 6019471330 |
| Mailing Fax Number | 6019471331 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1-146825 | AL | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 903153 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
975 HALL ST |
| City | WIGGINS |
| State | MS |
| Zip Code | 39577-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518906734 | Donald Robert Doran Jr. | Family Medicine | 975 Hall St, Wiggins, MS 39577-2107 | 2006-06-05 |
| 1851816797 | Crystal Renee Stafford | Nurse Practitioner | 975 Hall St, Wiggins, MS 39577-2107 | 2017-08-12 |
| 1922381466 | Michelle Mcqueen Johnson | Nurse Practitioner | 975 Hall St, Wiggins, MS 39577-2107 | 2011-09-21 |
| 1346355583 | Glynnis D Randall | Nurse Practitioner | 975 Hall St, Wiggins, MS 39577-2107 | 2006-08-20 |
| 1639182124 | Deepinder S. Burn | Internal Medicine | 975 Hall St, Wiggins, MS 39577-2107 | 2006-08-14 |
| 1740293257 | Wiggins Primary Care | Family Medicine | 975 Hall St, Wiggins, MS 39577-2107 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689057721 | John Thames | Emergency Medicine | 1428 Azalea Dr S, Wiggins, MS 39577 | 2015-07-07 |
| 1235468190 | Stone County School District | Local Education Agency (LEA) | 214 Critz Street, Wiggins, MS 39577 | 2009-12-23 |
| 1043452493 | Stone County Hospital, Inc | General Acute Care Hospital | 1434 E Central Ave., Wiggins, MS 39577 | 2009-04-01 |
| 1245274414 | James Walter Holmes | Family Medicine | 975 Hall Street, Wiggins, MS 39577 | 2006-06-16 |
| 1891223186 | Christine L Ladner | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577 | 2017-05-31 |
| 1790962637 | The Vision Center Pa | Optometrist | 1113 Central Ave E, Wiggins, MS 39577 | 2008-01-23 |
| 1821009465 | County Discount Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 820 Hall St, Wiggins, MS 39577-2100 | 2006-08-10 |
| 1154430940 | Batson Physical Therapy, Inc. | Clinic/Center | 711 Hall St, Wiggins, MS 39577-2105 | 2006-08-29 |
| 1033723937 | Katherine B Tyree | Physical Therapist | 711 Hall St, Wiggins, MS 39577-2105 | 2020-09-08 |
| 1114569340 | Johelen K Trisler | Physical Therapy Assistant | 711 Hall St, Wiggins, MS 39577-2105 | 2019-10-09 |
| Find all providers in zip 39577 | ||||
| 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 |
|---|---|---|---|---|
| 1821634502 | Kathy Renee Wilkinson | Nurse Practitioner | 990 Highway 29, Wiggins, MS 39577-8430 | 2019-11-18 |
| 1235553462 | Rebecca Harris | Nurse Practitioner | 1440 Central Ave E, Wiggins, MS 39577-9602 | 2014-02-07 |
| 1033340690 | James Jason Rogers | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2009-07-30 |
| 1346355583 | Glynnis D Randall | Nurse Practitioner | 975 Hall St, Wiggins, MS 39577-2107 | 2006-08-20 |
| 1487631461 | Lisa D Morgan | Nurse Practitioner | 805 Hall St, Wiggins, MS 39577-2110 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1093323461 | Lauren Elizabeth Boone | Nurse Practitioner | 3415 Shiloh Ln, Southaven, MS 38672-6045 | 2020-07-21 |
| 1558979229 | Adrianne Amanda Anderson | Nurse Practitioner | 8390 Ansley Park Ln, Southaven, MS 38672-8340 | 2020-07-20 |
| 1295343028 | Latesha Rochelle Williams | Nurse Practitioner | 309 Mcswain Rd, New Augusta, MS 39462-9760 | 2020-07-17 |
| 1316565914 | Youchoose | Nurse Practitioner | 10071 Imc Rd, Aberdeen, MS 39730-8408 | 2020-07-09 |
| 1891312948 | Courtney Rae Gordon | Nurse Practitioner | 601 Highway 80 E, Clinton, MS 39056-5122 | 2020-07-05 |
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1376169920 | Brittany Linton | Nurse Practitioner | 149 Fountains Blvd, Madison, MS 39110-6344 | 2020-06-19 |
| 1356960777 | Jennifer M Hunter | Nurse Practitioner | 8970 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
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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.