Active NPI
Zenaida Del Carpio Ezpeleta, RN
- Registered Nurse
- Wheeling, IL
National Provider Identifier
1104154541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041-229981
- Practice address
- 720 Waverly LN
Wheeling, IL 60090-3221 - Phone
- (847) 465-0445
- Fax
- (847) 947-0149
- NPI assigned
- Nov 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041-229981 | IL | Primary |
| Registered Nurse | 163W00000X | 379428 | CA |
Addresses
Primary practice location
720 Waverly LN
Wheeling, IL 60090-3221
Mailing address
720 Waverly LN
Wheeling, IL 60090-3221
Phone (847) 465-0445
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 379428 | CA | MD | Registered Nurse |
| 041-229981 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1104154541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WAVERLY LN",
"city": "WHEELING",
"state": "IL",
"postal_code": "600903221",
"telephone_number": "847-465-0445",
"fax_number": "847-947-0149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WAVERLY LN",
"city": "WHEELING",
"state": "IL",
"postal_code": "600903221",
"telephone_number": "847-465-0445",
"fax_number": "847-947-0149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZPELETA",
"first_name": "ZENAIDA",
"middle_name": "DEL CARPIO",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-23",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-229981",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "379428",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.