KRYSTLE MARIE DIAZ (NPI# 1689915415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689915415 |
| Entity Type | Individual |
| Full Name | KRYSTLE MARIE DIAZ |
| Credential | APRN, FNP |
| Practice Address |
217 Sam Houston Jones Pkwy Suite 101 Lake Charles LA 70611-5644 |
| Mailing Address |
1437 Clark Ct Lake Charles LA 70611-3528 |
| Practice Telephone | 3372171000 |
| Practice Fax Number | 3372171004 |
| Mailing Telephone | 3378025800 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP07247 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
217 SAM HOUSTON JONES PKWY SUITE 101 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70611-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972533602 | Sandra Denise Mary Bruno | Internal Medicine | 217 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 | 2006-07-05 |
| 1962791699 | Ashley L Greenman | Family Medicine | 217 Sam Houston Jones Pkwy, Ste 104, Lake Charles, LA 70611-5644 | 2011-04-04 |
| 1740589621 | Stewart Greathouse | Family Medicine | 217 Sam Houston Jones Pkwy, Ste 104, Lake Charles, LA 70611-5644 | 2011-03-18 |
| 1063711943 | Micah Leleux | Family Medicine | 217 Sam Houston Jones Pkwy, Ste 104, Lake Charles, LA 70611-5644 | 2011-03-18 |
| 1184896748 | Sleep Disorder Center of Lousiana, LLC | Clinic/Center | 217 Sam Houston Jones Pkwy, Suite B, Lake Charles, LA 70611-5644 | 2008-03-24 |
| 1245411446 | Timothy C. Haman | Internal Medicine | 217 Sam Houston Jones Pkwy, Suite 102, Lake Charles, LA 70611-5644 | 2007-11-16 |
| 1295868024 | Sandra D.m. Bruno, M.d., LLC | Internal Medicine | 217 Sam Houston Jones Pkwy, Suite 101, Lake Charles, LA 70611-5603 | 2007-03-13 |
| 1174650659 | Jeremy Stillwell | Physical Therapist | 217 Sam Houston Jones Pkwy, Ste 103, Lake Charles, LA 70611-5644 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417429036 | Ochsner Clinic LLC | Internal Medicine | 1355 Sam Houston Jones Pkwy, Ste 355, Lake Charles, LA 70611 | 2018-12-20 |
| 1538669361 | Nafeesa Zindani | Family Medicine | Chadha Medical Clinic 237 Sam Houston Jones Pkwy, Lake Carles, LA 70611 | 2018-02-19 |
| 1265930457 | Mark Kwame Osebre | Pharmacist | 120 Us-171, Moss Bluff, LA 70611 | 2018-01-23 |
| 1255840690 | Eavy's Medical Transportation | Non-emergency Medical Transport (VAN) | 1274 You Winn Rd, Moss Bluff, LA 70611 | 2017-09-28 |
| 1417324112 | Golden Touch LLC | Respite Care | 633 Donna Dr., Lake Charles, LA 70611 | 2015-08-28 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1780938266 | Kendra P Achord | Pharmacist | 899 Hwy 171 N, Lake Charles, LA 70611 | 2012-11-05 |
| 1235435314 | John Trahan II Apdc | Dentist | 139 Gloria Dr., Lake Charles, LA 70611 | 2011-02-07 |
| 1629383559 | Michael Rand Pettit | Pharmacist | 114 Gloria Dr, Lake Charles, LA 70611 | 2010-08-16 |
| 1851417844 | Steven Raymond Latiolais | Dentist | 644 Highway 171 N, Suite D, Lake Charles, LA 70611 | 2007-03-21 |
| Find all providers in zip 70611 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819131 | Alisha Bernard | Nurse Practitioner | 2469 Topsy Rd, Lake Charles, LA 70611-5724 | 2020-07-24 |
| 1699396473 | Patricia Duhon | Nurse Practitioner | 814 W Mcneese St Ste 100, Lake Charles, LA 70605-5426 | 2020-05-03 |
| 1134750052 | Lauren Goodaker | Nurse Practitioner | 230 W Sale Rd, Lake Charles, LA 70605-2828 | 2020-01-29 |
| 1043867997 | Cynthia Trahan Cox | Nurse Practitioner | 730 Tallow Rd, Lake Charles, LA 70607-7038 | 2019-08-23 |
| 1770145526 | Lexie Miller | Nurse Practitioner | 1874 Poeyfarre Rd, Lake Charles, LA 70611-4698 | 2019-07-02 |
| 1477116036 | Sarah Ardoin Bardin | Nurse Practitioner | 401 Dr Michael Debakey Dr Ste 300, Lake Charles, LA 70601-5864 | 2019-04-19 |
| 1194288266 | Lauryn Caitlin Leslie | Nurse Practitioner | 333 Doctor Michael Debakey Dr Ste 140, Lake Charles, LA 70601-5889 | 2019-04-07 |
| 1649735234 | Kayleigh Paige Head | Nurse Practitioner | 1000 Walters St Rm 204, Lake Charles, LA 70607-4647 | 2019-02-07 |
| 1548734270 | Traci L. Johnson | Nurse Practitioner | 4150 Nelson Rd Ste 5, Lake Charles, LA 70605-4148 | 2019-01-16 |
| 1730662305 | Brandy Laurice Semien | Nurse Practitioner | 1727 Imperial Blvd Bldg 1b, Lake Charles, LA 70605-5392 | 2018-09-10 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70611 |
Please comment or provide details below to improve the information on KRYSTLE MARIE 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.