Active NPI
Arketa Zambakari
- Nursing Home Administrator
- Phoenix, AZ
National Provider Identifier
1124561410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- AL10165H
- Practice address
- 4123 N 21St St
Phoenix, AZ 85016-6109 - Phone
- (602) 321-3616
- NPI assigned
- Nov 18, 2016
- 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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | AL10165H | AZ | Primary |
Addresses
Primary practice location
4123 N 21St St
Phoenix, AZ 85016-6109
Mailing address
4123 N 21St St
Phoenix, AZ 85016-6109
Phone (602) 321-3616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL10165H | Other | AZ | DEPARTMENT OF HEALTH SERVICES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL10165H | AZ | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1124561410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 N 21ST ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166109",
"telephone_number": "602-321-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 N 21ST ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166109",
"telephone_number": "602-321-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBAKARI",
"first_name": "ARKETA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "AZ",
"license": "AL10165H",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH SERVICES",
"identifier": "AL10165H",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.