Individual provider Active NPI

Brenda Zohner, NP

  • Family Nurse Practitioner
  • Naperville, IL
National Provider Identifier
1063407500
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-005131 Issued in IL
Practice address
286 Danbury Dr
Naperville, IL 60565-3262
Phone
(630) 272-0738
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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 209-005131 IL Primary

Addresses

Primary practice location

286 Danbury Dr
Naperville, IL 60565-3262

Mailing address

286 Danbury Dr
Naperville, IL 60565-3262
Phone (630) 272-0738

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-005131ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axiom Medical Clinic LLC Past Accepting new patients
Spinal Rehabilitation and Wellness Clinic, LLC Past Accepting new patients
Neck to Back Rockford LLC Past Accepting new patients
Neck to Back Peoria LLC Past Accepting new patients

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1063407500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 DANBURY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653262",
            "telephone_number": "630-272-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 DANBURY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653262",
            "telephone_number": "630-272-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHNER",
        "first_name": "BRENDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-005131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.