Individual provider Active NPI

Heidi J Tzizik, APRN, FNP-C

  • Family Nurse Practitioner
  • Portsmouth, NH
National Provider Identifier
1053961342
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
059283-23 Issued in NH
Practice address
599 Lafayette Rd
Portsmouth, NH 03801-5409
Phone
(603) 942-7900
Fax
(603) 630-1009
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 059283-23 NH Primary

Addresses

Primary practice location

599 Lafayette Rd
Portsmouth, NH 03801-5409

Mailing address

599 Lafayette Rd
Portsmouth, NH 03801-5409
Phone (603) 942-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191101002229 NH Practitioner - Nurse Practitioner 0446582910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Practice addresses (Care Compare)

1 Beehive Dr
Epping, NH 03042-3310
Phone (603) 526-4635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
059283-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Urgent Care Services, LLC CurrentSince Jan 5, 2022 Accepting new patients
Clearchoicemd, PLLC CurrentSince Jan 5, 2022 Accepting new patients
Clearchoicemd, PLLC CurrentSince Jan 5, 2022 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

1 Beehive Dr
Epping, NH 03042
Phone (603) 734-9202

7 Cinemagic Way
Hooksett, NH 03106
Phone (603) 782-5112

410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260

636 Lafayette Rd
Seabrook, NH 03874
Phone (603) 457-7830

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1053961342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 LAFAYETTE RD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015409",
            "telephone_number": "603-942-7900",
            "fax_number": "603-630-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 LAFAYETTE RD",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015409",
            "telephone_number": "603-942-7900",
            "fax_number": "603-630-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TZIZIK",
        "first_name": "HEIDI",
        "middle_name": "J",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "059283-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.