Individual provider Active NPI

Valeria H Zincke, MD

  • Pediatrics Physician
  • Alexandria, VA
National Provider Identifier
1033168570
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101035889 Issued in VA
Practice address
4480 King St
Alexandria Health Department
Alexandria, VA 22302-1300
Phone
(703) 838-4400
Fax
(703) 838-4037
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101035889 VA Primary

Addresses

Primary practice location

4480 King St
Alexandria Health Department
Alexandria, VA 22302-1300

Mailing address

4480 King St
Alexandria Health Department
Alexandria, VA 22302-1300
Phone (703) 838-4400

Other identifiers 1

IdentifierTypeStateIssuer
006700535MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101035889VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Pediatrics Past Accepting new patients
Emergency Medicine Associates Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1033168570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 KING ST",
            "address_2": "ALEXANDRIA HEALTH DEPARTMENT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021300",
            "telephone_number": "703-838-4400",
            "fax_number": "703-838-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 KING ST",
            "address_2": "ALEXANDRIA HEALTH DEPARTMENT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021300",
            "telephone_number": "703-838-4400",
            "fax_number": "703-838-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINCKE",
        "first_name": "VALERIA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101035889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006700535",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.