Individual provider Active NPI

Zuzana Barbora Lacca

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1134864069
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R245144 Issued in MD
Practice address
4494 N Palmer Rd
Bethesda, MD 20889-0001
Phone
(301) 319-2100
NPI assigned
May 4, 2022
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220804000306 DE Practitioner - Nurse Practitioner 2567844723 Reassigns benefits to 1 organization
I20231025000260 MD Practitioner - Nurse Practitioner 2567844723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0011902DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Jul 22, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 10, 2023 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 22, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.