Individual provider Active NPI

Ann Marie Zenobia, PNP

  • Pediatric Nurse Practitioner
  • Maxwell AFB, AL
National Provider Identifier
1154720746
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN - 1778 Issued in HI
Practice address
300 Twining St BLDG 760
Maxwell AFB, AL 36112-6027
Phone
(707) 423-7927
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN - 1778 HI Primary

Addresses

Primary practice location

300 Twining St BLDG 760
Maxwell AFB, AL 36112-6027

Mailing address

300 Twining St BLDG 760
Maxwell AFB, AL 36112-6027
Phone (707) 423-7927

Other identifiers 1

IdentifierTypeStateIssuer
APRN - 1778OtherHIPEDIATRIC NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN - 1778HIMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1154720746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TWINING ST BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126027",
            "telephone_number": "707-423-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TWINING ST BLDG 760",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126027",
            "telephone_number": "707-423-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENOBIA",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "HI",
            "license": "APRN - 1778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC NURSE PRACTITIONER",
            "identifier": "APRN - 1778",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maxwell AFB, AL

Sources for this page

Verify at the official NPI Registry.