Active NPI
David Zane
- Adult Health Nurse Practitioner
- Shoreline, WA
National Provider Identifier
1013067644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30005761
- Practice address
- 15230 15TH Ave NE
B17-31
Shoreline, WA 98155-7130 - Phone
- (206) 361-3087
- Fax
- (206) 361-5246
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP30005761 | WA | Primary |
Addresses
Primary practice location
15230 15TH Ave NE
B17-31
Shoreline, WA 98155-7130
Mailing address
15230 15TH Ave NE
B17-31
Shoreline, WA 98155-7130
Phone (206) 361-3087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221012003633 | WA | Order and Referring Only - Nurse Practitioner | 7810933579 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005761 | WA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1013067644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15230 15TH AVE NE",
"address_2": "B17-31",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557130",
"telephone_number": "206-361-3087",
"fax_number": "206-361-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15230 15TH AVE NE",
"address_2": "B17-31",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557130",
"telephone_number": "206-361-3087",
"fax_number": "206-361-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANE",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30005761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.