Active NPI
Kathleen Johanna Zakroczynski, MSN, APRN, NP-C
- Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1194081679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN185316
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (770) 722-8432
- NPI assigned
- Apr 9, 2012
- Last updated
- Nov 30, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN185316 | GA | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
134 Walkers Way
Commerce, GA 30530-7716
Phone (770) 722-8432
Other practice location 1
170 Cardiology Pl
Commerce, GA 30529-1083
Phone (706) 335-2000
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN185316 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary E Watkins DC PC | Past | Accepting new patients | |
| Georgia Heart Institute LLC | Past | Accepting new patients | |
| Watkins Total Healthcare LLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Gainesville, GA
- NPI 1477976520
-
- Adult Medicine Physician
- Gainesville, GA
- NPI 1346514650
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1194081679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 WALKERS WAY",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305307716",
"telephone_number": "770-722-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "770-722-8432"
}
],
"practiceLocations": [
{
"address_1": "170 Cardiology Pl",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "GA",
"postal_code": "305291083",
"country_code": "US",
"telephone_number": "706-335-2000",
"fax_number": "706-335-9593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAKROCZYNSKI",
"first_name": "KATHLEEN",
"middle_name": "JOHANNA",
"name_prefix": "Ms.",
"credential": "MSN, APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN185316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.