Active NPI
Carol Elizabeth Zogran, CNS
- Psychiatric/Mental Health Clinical Nurse Specialist
- Richmond, VA
National Provider Identifier
1154423143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 0015000375
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09633 | Other | VA | GROUP 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0015000375 | VA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
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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.