Christine Ann Zidek, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP05623 Issued in OH

Practice address

3033 Kettering Blvd
Ste 100
Moraine, OH 45439-1962

Phone

(937) 293-2133

Fax

(937) 293-2161

NPI assigned

Nov 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Certified Nurse Practitioner, 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 and National Provider Directory roles.

• Vpa PC

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1932386059
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1346254281
  NPD
• Vpa PC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1497700397
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Hospitalist Medicine Physicians of Butler County, LTD

  • Internal Medicine Physician
  • Franklin, OH
  • NPI 1477592319
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1083697585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 RAVELLE CT",
            "address_2": "BELLBROOK",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453058760",
            "telephone_number": "937-848-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 KETTERING BLVD",
            "address_2": "STE 100",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391962",
            "telephone_number": "937-293-2133",
            "fax_number": "937-293-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIDEK",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP05623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Yancey
• Kimberly Yates
• Hope York
• Anders Young, BA, QMHS
• Erin Zbikowski, MSW, LSW

• Nurse Practitioner in Moraine, OH
• Providers in Moraine, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.