Individual provider Active NPI

Wendy Nuss Zubenko, ED.D., M.S.N.

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Wexford, PA
National Provider Identifier
1104887702
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN268273L Issued in PA
Practice address
12300 Perry Highway
Suite 204
Wexford, PA 15090-7612
Phone
(412) 719-2303
Fax
(724) 719-2303
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN268273L PA Primary

Addresses

Primary practice location

12300 Perry Highway
Suite 204
Wexford, PA 15090-7612

Mailing address

12300 Perry Highway
Suite 204
Wexford, PA 15090-7612
Phone (412) 719-2303

Other identifiers 1

IdentifierTypeStateIssuer
100950069MedicaidPA

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)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Teredesai McCann & Associates PC PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1104887702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 PERRY HIGHWAY",
            "address_2": "SUITE 204",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907612",
            "telephone_number": "412-719-2303",
            "fax_number": "724-719-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 PERRY HIGHWAY",
            "address_2": "SUITE 204",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907612",
            "telephone_number": "412-719-2303",
            "fax_number": "724-719-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBENKO",
        "first_name": "WENDY",
        "middle_name": "NUSS",
        "name_prefix": "Dr.",
        "credential": "ED.D., M.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN268273L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100950069",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.