Individual provider Active NPI

Fernanda Eloisa Zarate

  • Developmental Therapist
  • Crystal Lake, IL
National Provider Identifier
1053228783
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
544 Nunda TRL
Crystal Lake, IL 60012-3795
Phone
(847) 278-1851
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X IL Primary

Addresses

Primary practice location

544 Nunda TRL
Crystal Lake, IL 60012-3795

Mailing address

106 Mariposa Ave
Waukegan, IL 60087-4034

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1053228783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MARIPOSA AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600874034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 NUNDA TRL",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123795",
            "telephone_number": "847-278-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARATE",
        "first_name": "FERNANDA",
        "middle_name": "ELOISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.