Individual provider Active NPI

Herbert Tafadzkia Zinzombe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1164178075
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71011136A Issued in IN
Practice address
2506 Willowbrook Pkwy Ste 300
Indianapolis, IN 46205-1500
Phone
(317) 574-1254
Fax
(317) 674-0060
NPI assigned
Mar 1, 2022
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 Nurse Practitioner 363LP0808X 71011136A IN Primary

Addresses

Primary practice location

2506 Willowbrook Pkwy Ste 300
Indianapolis, IN 46205-1500

Mailing address

697 Pro Med LN
Carmel, IN 46032-5323
Phone (317) 574-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221116000566 IN Practitioner - Nurse Practitioner 6709254113 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Memorial HospitalGroup PAC ID 8527972595, 39 clinicians

Practice addresses (Care Compare)

1125 W Jefferson St
BLDG 1161
Franklin, IN 46131-2140
Phone (317) 736-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71011136AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Aspire Indiana Inc. Psychiatric/Mental Health CurrentSince Mar 6, 2025 Accepting new patients
Johnson Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Aspire Indiana Health Inc. Current Accepting new patients
Chinthala, PC CurrentSince Oct 27, 2022 Accepting new patients

Locations

2009 Brown St
Anderson, IN 46016
Phone (765) 393-3891

697 Pro Med Ln
Carmel, IN 46032
Phone (317) 574-0055

1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858

1125 W Jefferson St
Bldg 1161
Franklin, IN 46131
Phone (317) 736-3300

201 Shelby St
Indianapolis, IN 46202
Phone (317) 637-9816

2506 Willowbrook Pkwy
Ste 300
Indianapolis, IN 46205
Phone (317) 257-3903

5602 Caito Dr
Indianapolis, IN 46226
Phone (314) 324-8802

9615 E 148th St
Ste 1
Noblesville, IN 46060
Phone (317) 587-0500

Interoperability endpoints

  • Direct secure messaging: herbert.zinzombe.1@20553.direct.athenahealth.com

Organizations & group practices 5

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1164178075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 PRO MED LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325323",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 WILLOWBROOK PKWY STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051500",
            "telephone_number": "317-574-1254",
            "fax_number": "317-674-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINZOMBE",
        "first_name": "HERBERT",
        "middle_name": "TAFADZKIA",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71011136A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.