Active NPI
Zuzana Barbora Lacca
- Family Nurse Practitioner
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R245144
- Practice address
- 4494 N Palmer Rd
Bethesda, MD 20889-0001 - Phone
- (301) 319-2100
- NPI assigned
- May 4, 2022
- Last updated
- Oct 3, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0011902 | DE | |
| Family Nurse Practitioner | 363LF0000X | R245144 | MD | Primary |
Addresses
Primary practice location
4494 N Palmer Rd
Bethesda, MD 20889-0001
Mailing address
4494 N Palmer Rd
Bethesda, MD 20889-0001
Phone (301) 319-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0011902 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients |
Locations
4701 Ogletown Stanton Rd
Newark, DE 19713
Phone (302) 266-7800
4701 Ogletown Stanton Rd
Ste 2200
Newark, DE 19713
Phone (302) 366-1200
4701 Ogletown Stanton Rd
Ste 2300
Newark, DE 19713
Phone (302) 623-4510
4701 Ogletown Stanton Rd
Ste 2400
Newark, DE 19713
Phone (302) 731-7782
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
111 W High St
Ste 104
Elkton, MD 21921
Phone (410) 392-5566
Interoperability endpoints
- zuzana.lacca@dclp.ikm.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1134864069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4494 N PALMER RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-319-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 N PALMER RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-319-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACCA",
"first_name": "ZUZANA",
"middle_name": "BARBORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-04",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0011902",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R245144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.