Active NPI
Connie Louise Zabokrtsky
- Art Therapist
- Clarksville, TN
National Provider Identifier
1093491250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 282696
- Practice address
- 1454 Amy Ave
Clarksville, TN 37042-7036 - Phone
- (707) 362-0542
- NPI assigned
- Jun 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 282696 | KY | Primary |
Addresses
Primary practice location
1454 Amy Ave
Clarksville, TN 37042-7036
Mailing address
1454 Amy Ave
Clarksville, TN 37042-7036
Phone (707) 362-0542
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
| License | State | Type | Specialty |
|---|---|---|---|
| 282696 | KY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1093491250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1454 AMY AVE",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370427036",
"telephone_number": "707-362-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1454 AMY AVE",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370427036",
"telephone_number": "707-362-0542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZABOKRTSKY",
"first_name": "CONNIE",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-23",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "KY",
"license": "282696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.