Azeb Zeleke

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP61099151 Issued in WA

Practice address

3815 S Othello St
Seattle, WA 98118-3510

Phone

(206) 788-3645

NPI assigned

May 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bastion Health PC

  dba Crown Health

  • Family Medicine Physician
  • Tukwila, WA
  • NPI 1750921193
  Medicare reassignment NPD
• International Community Health Services

  dba ICHS Health Home Services

  • Case Management Agency
  • Seattle, WA
  • NPI 1871110452
  NPD (past)

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1073135661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21331 52ND WAY S",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 S OTHELLO ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183510",
            "telephone_number": "206-788-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELEKE",
        "first_name": "AZEB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "00173684",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61099151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Zeisig-Walsh, MSW, LSWAIC
• Kayla Zeiss
• Daniel Marcus Zeitler, M.D.
• Mary Zeitler
• Mindy Lim Zeitz-Chua, MD
• Robert Zelesko, LMT
• Allison J Zelikoff, RN
• Megan K Zell
• Courtney Michelle Zeller, AEMP
• Daniel Zellman, LMP

• Primary Care Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Primary Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.