Christine Marie Zgorka, M.S.

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

70000148A Issued in IN

Practice address

3210 Watling St # 8-210
East Chicago, IN 46312-1716

Phone

(219) 399-6067

Fax

(219) 399-5814

NPI assigned

Oct 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1154574473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9813 CRIMSON TREE LN",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214112",
            "telephone_number": "219-924-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 WATLING ST # 8-210",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463121716",
            "telephone_number": "219-399-6067",
            "fax_number": "219-399-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZGORKA",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "IN",
            "license": "28071763A",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IN",
            "license": "70000148A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jetaun Wright, BA
• Michael Wynne, RBT
• Andrew Yaeger
• Wenfei Yang
• Christina Louise Zamora

• All providers in East Chicago, IN
• Adult Health Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.