Body for Life LLC
NPI 1679869408ActiveOrganization· Nurse Practitioner, Acute Care· Bartlett, TN
Nurse Practitioner, Acute Care in Bartlett, Tennessee, registered in NPPES in June 2011. The authorized official on file is Mike Diaz, Member.
Overview
| NPI | 1679869408 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2011 |
| Last updated in NPPES | Apr 20, 2020 |
| Certified by provider | Apr 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | APN12232 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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