Alexandra Deanna Zak, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

10953 Issued in CT

Practice address

152 Broad St
Guilford, CT 06437-2603

Phone

(203) 453-5235

Fax

(203) 453-6204

NPI assigned

Jul 29, 2019

Last updated

Aug 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Guilford Pediatrics Inc

  • Pediatrics Physician
  • Guilford, CT
  • NPI 1649452558
  NPD (past)

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1033763958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BROAD ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372603",
            "telephone_number": "203-453-5235",
            "fax_number": "203-453-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BROAD ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372603",
            "telephone_number": "203-453-5235",
            "fax_number": "203-453-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAK",
        "first_name": "ALEXANDRA",
        "middle_name": "DEANNA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "10953",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "10953",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "10953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yale New Haven Hospital
• Yale University
• Yale University School of Medicine
• Anne E Youngling, DO
• Amelia E Yungk, APRN
• Catherine Zampano, LCSW
• Lisa Zappone
• Frank J Zimmitti, PAC MS
• Catherine Zirker, DPT
• Sasa Zivkovic, MD

• Pediatric Nurse Practitioner in Guilford, CT
• Providers in Guilford, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.