KRYSTAL DIAZ BS/CPSS
NPI 1639030604
Peer Specialist in Emmett, ID

Active since November 19, 2025
2007 E QUAIL RUN RD STE 1, EMMETT, ID 83617(208) 365-5445 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krystal Diaz Bs/cpss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL DIAZ BS/CPSS (NPI 1639030604) is an individual peer specialist in Emmett, Idaho and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1639030604
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKRYSTAL DIAZCredential: BS/CPSS
Location Address2007 E QUAIL RUN RD STE 1Emmett, ID 83617-5059
Mailing Address307 N De Clark AveEmmett, ID 83617-3153 · (208) 365-5445
Sole ProprietorYes
Enumeration DateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
NPI 1639030604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedSpecialistTaxonomy 174400000X
2007 E QUAIL RUN RD STE 1, Emmett, ID 83617

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2007 E QUAIL RUN RD STE 1
EMMETT, ID 83617
Peer Specialist
2007 E QUAIL RUN RD STE 1
EMMETT, ID 83617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystal Diaz's NPI number?

The NPI number for Krystal Diaz is 1639030604. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Where is Krystal Diaz located?

Krystal Diaz practices at 2007 E Quail Run Rd Ste 1, Emmett, ID 83617. The listed phone number is (208) 365-5445.

What is Krystal Diaz's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Krystal Diaz was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.