1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Physician Assistant
  6. NPI Profile

DANIELLE NIKOLE DIAZ PA-C
NPI 1780279869
Physician Assistant in Miami, FL

Active since March 01, 2021Opted out of Medicare · through Jun 5, 2028
9922 SW 21ST ST, MIAMI, FL 33165(305) 799-3082 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 6, 2024, Mar 1, 2021 (2 updates tracked since 2021).

About Danielle Nikole Diaz Pa-c NPPES

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

DANIELLE NIKOLE DIAZ PA-C (NPI 1780279869) is an individual physician assistant in Miami, Florida, licensed in Florida (9118555) and active in the NPI registry since March 2021. She has opted out of Medicare through June 5, 2028.

NPPES Registry Identity

NPI1780279869
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDANIELLE NIKOLE DIAZCredential: PA-C
Location Address9922 SW 21ST STMiami, FL 33165-7506
Mailing Address9922 Sw 21st StMiami, FL 33165-7506 · (305) 799-3082
Phone(305) 799-3082
Sole ProprietorYes
Enumeration DateMarch 1, 2021
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1780279869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · 9118555
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9922 SW 21ST ST, Miami, FL 33165
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Danielle Nikole Diaz Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 5, 2024 through June 5, 2028.

Opt-Out Effective DateJune 5, 2024
Opt-Out In Effect ThroughJune 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Danielle Diaz's NPI number?

The NPI number for Danielle Diaz is 1780279869. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Danielle Diaz located?

Danielle Diaz practices at 9922 SW 21st St, Miami, FL 33165. The listed phone number is (305) 799-3082.

What is Danielle Diaz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Danielle Diaz enrolled in Medicare?

No. Danielle Diaz has opted out of Medicare through June 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Danielle Diaz was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.