Individual provider Active NPI

Donald P Zietz, AAS-HIS

  • Hearing Instrument Specialist
  • Mount Vernon, WA
National Provider Identifier
1093089591
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA00004650 Issued in WA
Practice address
1810 E College Way
Suite 110
Mount Vernon, WA 98273-2362
Phone
(360) 336-5881
Fax
(360) 336-2323
NPI assigned
Mar 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA00004650 WA Primary

Addresses

Primary practice location

1810 E College Way
Suite 110
Mount Vernon, WA 98273-2362

Mailing address

22525 SE 64TH PL
Ste 2030
Issaquah, WA 98027-5383
Phone (425) 358-0956

Other identifiers 1

IdentifierTypeStateIssuer
332500000XMedicaidWA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA00004650WAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1093089591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22525 SE 64TH PL",
            "address_2": "STE 2030",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275383",
            "telephone_number": "425-358-0956",
            "fax_number": "877-481-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E COLLEGE WAY",
            "address_2": "SUITE 110",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732362",
            "telephone_number": "360-336-5881",
            "fax_number": "360-336-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIETZ",
        "first_name": "DONALD",
        "middle_name": "P",
        "credential": "AAS-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-01",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA00004650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332500000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.