Active NPI
Jennifer R Zebrack, MD
- Internal Medicine Physician
- Reno, NV
National Provider Identifier
1245310341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9447
- Practice address
- 1500 E 2ND St Ste 302
Reno, NV 89502-1198 - Phone
- (775) 784-7500
- Fax
- (775) 784-4175
- NPI assigned
- Oct 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9447 | NV | Primary |
| Gynecology Physician | 207VG0400X | 9447 | NV |
Addresses
Primary practice location
1500 E 2ND St Ste 302
Reno, NV 89502-1198
Mailing address
401 W 2ND St
227
Reno, NV 89503-5345
Phone (775) 784-1223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002016526 | Medicaid | NV |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9447 | NV | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1245310341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W 2ND ST",
"address_2": "227",
"city": "RENO",
"state": "NV",
"postal_code": "895035345",
"telephone_number": "775-784-1223",
"fax_number": "775-327-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E 2ND ST STE 302",
"city": "RENO",
"state": "NV",
"postal_code": "895021198",
"telephone_number": "775-784-7500",
"fax_number": "775-784-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEBRACK",
"first_name": "JENNIFER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "9447",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NV",
"license": "9447",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016526",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.