Zappcare Qof LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ZAPPCARE QOF LLC

Practice address

801 Burke Dr
Gallup, NM 87301-5413

Phone

(505) 300-2523

NPI assigned

Mar 7, 2021

Organization subpart

No

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

Authorized official

Name

Mark Atlan

Title

Chief Executive Officer

Phone

(626) 319-5445

Specialties & licenses 9

Addresses

Other names 1

• ZappCare Doing business as

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1093300451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BURKE DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015413",
            "telephone_number": "505-300-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BURKE DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015413",
            "telephone_number": "505-300-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAPPCARE QOF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-11-08",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "ATLAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-319-5445"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZappCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ZappCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Young
• Nizhoni A Young, BT
• Phyllis Onella Young
• Marina Zakharova
• Mirtha Zamudio Deras
• Manuel Dejesus Zarate Jr., CRNA
• Melissa Zertuche
• Zhon Home Care Corporation
• Sherri L Zudell, CFNP
• Randall Zuni, CPSW,BSN

• Rural Health Clinic/Center in Gallup, NM
• Providers in Gallup, NM by specialty
• Rural Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.