Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Krystal Diaz, BS/CPSS

Individual provider Specialist · NPI 1639030604

Krystal Diaz, BS/CPSS is a Specialist in Emmett, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

2007 E Quail Run Rd Ste 1
Emmett, ID 83617-5059
Phone: (208) 365-5445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (ID)
Specialist Taxonomy 174400000X (ID)
Case Manager/Care Coordinator Taxonomy 171M00000X (ID)

Record details

NPI number1639030604
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS/CPSS
Sole proprietorYes
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

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