Angela Sue Zacharek, FNP, CNM

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

OR200650156NP Issued in OR

Practice address

1860 Coburg Rd
Eugene, OR 97401-4945

Phone

(541) 686-2959

NPI assigned

Jun 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

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.

• Monarch Medical Group LLC

  • Clinic/Center
  • Eugene, OR
  • NPI 1396075289
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1114924743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 COBURG RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014945",
            "telephone_number": "541-686-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 COBURG RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014945",
            "telephone_number": "541-686-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHAREK",
        "first_name": "ANGELA",
        "middle_name": "SUE",
        "credential": "FNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "OR200650156NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Yuan, MD
• Xyloh Yugen, MA, QMHP-C
• Wyatt Yurkovich, M.ED.
• Kaythlin Angelin Yuswardy
• Tonia Zabloudil, LMT
• Zachary B. Corbett, L.Ac.
• Charles R. Zachem, D.O.
• Damarcus Zachery, PSS
• Susan Zahn, LMT
• Alieh Zamany, PT, DPT, PCS

• Family Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.