Active NPI
Ariel Zak, RN
- Psychiatric/Mental Health Nurse Practitioner
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61078831
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154866 | CT | MD | Registered Nurse |
| AP61078831 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Multi-Specialty | Current | Accepting new patients |
| Multicare Health System | Multi-Specialty | Current | Accepting new patients |
| Alliance for South Sound Health | Multi-Specialty | Current | 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
- 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.
-
dba Wellfound Behavioral Health Hospital
- Psychiatric Hospital
- Tacoma, WA
- NPI 1891298980
Multi-Specialty
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
Multi-Specialty
-
dba MultiCare Immediate Clinic
- Family Medicine Physician
- Tacoma, WA
- NPI 1396297487
Multi-Specialty
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
Multi-Specialty
-
dba Covington MultiCare Clinic
- Family Medicine Physician
- Covington, WA
- NPI 1093768657
Multi-Specialty
-
dba Woodcreek Pediatrics by Mary Bridge Children's
- Pediatrics Physician
- Puyallup, WA
- NPI 1700396652
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.