Individual provider Active NPI

Ariel Zak, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1225669724
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61078831 Issued in WA
Practice address
65 Dwight St Apt 76
New Haven, CT 06511-5352
Phone
(425) 478-2672
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP61078831 WA Primary
Registered Nurse 163W00000X 154866 CT

Addresses

Primary practice location

65 Dwight St Apt 76
New Haven, CT 06511-5352

Mailing address

65 Dwight St Apt 76
New Haven, CT 06511-5352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200827000102 WA Practitioner - Nurse Practitioner 2961829627 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
154866CTMDRegistered Nurse
AP61078831WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Aug 3, 2020 Accepting new patients
Multicare Health System Multi-Specialty CurrentSince Aug 3, 2020 Accepting new patients
Multicare Health System Multi-Specialty Current Accepting new patients
Alliance for South Sound Health Multi-Specialty CurrentSince Feb 27, 2024 Accepting new patients
Multicare Health System Multi-Specialty Past Accepting new patients
Multicare Health System Multi-Specialty Past Accepting new patients
Multicare Health System Multi-Specialty Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400

Interoperability endpoints

  • Direct secure messaging: azak492076@direct.multicare.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1225669724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DWIGHT ST APT 76",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DWIGHT ST APT 76",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115352",
            "telephone_number": "425-478-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAK",
        "first_name": "ARIEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61078831",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "154866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.