Active NPI
Christine Kenyon Zartler, RN, MSN, CPNP
- Pediatric Nurse Practitioner
- Lewisville, TX
National Provider Identifier
1124113774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 563157
- Practice address
- 502 S. Old Orchard Lane
Suite 126
Lewisville, TX 75067-4370 - Phone
- (972) 436-7962
- Fax
- (972) 353-5780
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 563157 | TX | Primary |
Addresses
Primary practice location
502 S. Old Orchard Lane
Suite 126
Lewisville, TX 75067-4370
Mailing address
502 S. Old Orchard Lane
Suite 126
Lewisville, TX 75067-4370
Phone (972) 436-7962
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01733 | Other | TX | PRESCIPTIVE AUTHORITY |
| 1475519-01 | Medicaid | TX |
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
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 563157 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediplace | Pediatrics | Past | 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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1124113774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 S. OLD ORCHARD LANE",
"address_2": "SUITE 126",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674370",
"telephone_number": "972-436-7962",
"fax_number": "972-353-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 S. OLD ORCHARD LANE",
"address_2": "SUITE 126",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674370",
"telephone_number": "972-436-7962",
"fax_number": "972-353-5780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARTLER",
"first_name": "CHRISTINE",
"middle_name": "KENYON",
"name_prefix": "Mrs.",
"credential": "RN, MSN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "563157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCIPTIVE AUTHORITY",
"identifier": "01733",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1475519-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.