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

Tinae G Diaz

Individual provider Family Nurse Practitioner · NPI 1891342853

Tinae G Diaz is a Nurse Practitioner in Bowling Green, Virginia. Qualified in 2018, 8 years ago. Practices with Virginia Internal Medicine Inc, a 98-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2019

Practice location Address checks out

120 Anderson Ave
Bowling Green, VA 22427-9401
Phone: (804) 633-4839
Fax: (804) 633-7309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024176230 (VA)

Record details

NPI number1891342853
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2019
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address120 Anderson Ave, Bowling Green, VA 22427-9401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Virginia Internal Medicine Inc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bowling Green