Individual provider Active NPI

Carol Elizabeth Zogran, CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Richmond, VA
National Provider Identifier
1154423143
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
0015000375 Issued in VA
Practice address
1503 Santa Rosa Rd
Suite 211
Richmond, VA 23229-5105
Phone
(804) 282-9100
Fax
(804) 282-3266
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 0015000375 VA Primary

Addresses

Primary practice location

1503 Santa Rosa Rd
Suite 211
Richmond, VA 23229-5105

Mailing address

1394 Manakin Rd
Manakin Sabot, VA 23103-2806
Phone (804) 784-9847

Other identifiers 1

IdentifierTypeStateIssuer
C09633OtherVAGROUP PTAN

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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
0015000375VAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Francis Medical Center LLC Past Accepting new patients
Bon Secours St. Francis Medical Center Inc Past Accepting new patients

Organizations & group practices 2

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1154423143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 MANAKIN RD",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231032806",
            "telephone_number": "804-784-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SANTA ROSA RD",
            "address_2": "SUITE 211",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295105",
            "telephone_number": "804-282-9100",
            "fax_number": "804-282-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOGRAN",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0015000375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.