Individual provider Active NPI

Kristin Ann Zalar, C.N.P, R.N.

  • Family Nurse Practitioner
  • Mayfield Village, OH
National Provider Identifier
1184912073
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12476-NP Issued in OH
Practice address
6559 Wilson Mills Rd
Suite 106
Mayfield Village, OH 44143-6402
Phone
(440) 449-1540
Fax
(440) 460-2833
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12476-NP OH Primary

Addresses

Primary practice location

6559 Wilson Mills Rd
Suite 106
Mayfield Village, OH 44143-6402

Mailing address

6559 Wilson Mills Rd
Suite 106
Mayfield Village, OH 44143-6402
Phone (440) 449-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110830000060 OH Practitioner - Nurse Practitioner 8022288166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
12476-NPOHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1184912073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS RD",
            "address_2": "SUITE 106",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441436402",
            "telephone_number": "440-449-1540",
            "fax_number": "440-460-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS RD",
            "address_2": "SUITE 106",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441436402",
            "telephone_number": "440-449-1540",
            "fax_number": "440-460-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALAR",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "credential": "C.N.P,  R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "12476-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Village, OH

Sources for this page

Verify at the official NPI Registry.