Individual provider Active NPI

Zynnia C Zafra, MD

  • Psychiatry Physician
  • Tuscaloosa, AL
National Provider Identifier
1124122718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00021341 Issued in AL
Practice address
200 University Blvd
Tuscaloosa, AL 35402-1231
Phone
(205) 759-0904
Fax
(205) 759-0931
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 00021341 AL Primary

Addresses

Primary practice location

200 University Blvd
Tuscaloosa, AL 35402-1231

Mailing address

200 University Blvd
PO Box 21231
Tuscaloosa, AL 35402-1231
Phone (205) 759-0904

Other identifiers 5

IdentifierTypeStateIssuer
051046351OtherBC
P00237283OtherALRAILROAD
009931615MedicaidAL
051571248OtherALBLUE CROSS
000046351MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000971 AL Practitioner - Psychiatry 5294774410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Alabama Dept of Mental Health and Mental RetardationGroup PAC ID 5698684090, 13 clinicians

Practice addresses (Care Compare)

115 Harper CT
Tuscaloosa, AL 35401-7454
Phone (205) 366-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00021341ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alabama Dept of Mental Health & Mental Retardation Current Accepting new patients
State of Alabama Dept of Finace CurrentSince Dec 27, 1998 Accepting new patients
State of Alabama Dept of Finance CurrentSince Dec 27, 1998 Accepting new patients
State of Alabama Dept of Finance Past Accepting new patients

Locations

725 E Coy Smith Hwy
Mount Vernon, AL 36560
Phone (251) 662-6700

200 University Blvd
Tuscaloosa, AL 35401
Phone (205) 759-0715

115 Harper Ct
Tuscaloosa, AL 35401
Phone (205) 366-3010

Organizations & group practices 5

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124122718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY BLVD",
            "address_2": "PO BOX 21231",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354021231",
            "telephone_number": "205-759-0904",
            "fax_number": "205-759-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354021231",
            "telephone_number": "205-759-0904",
            "fax_number": "205-759-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFRA",
        "first_name": "ZYNNIA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "00021341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "051046351",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00237283",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009931615",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051571248",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000046351",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.