Jacqueline Dannette Zentz, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

5768971 Issued in NY

Practice address

6441 Centralia Hartfield Rd
Mayville, NY 14757-9708

Phone

(716) 269-9408

NPI assigned

May 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Chautauqua Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Lakewood, NY
  • NPI 1639255250
  NPD

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1265877294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 CENTRALIA HARTFIELD RD",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147579708",
            "telephone_number": "716-269-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 CENTRALIA HARTFIELD RD",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147579708",
            "telephone_number": "716-269-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENTZ",
        "first_name": "JACQUELINE",
        "middle_name": "DANNETTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "5768971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Uebelhoer, PA-C
• Denise A Valvo, LMSW
• Rochelle Von Hof, PH.D
• Ralph Gerald Walton, M.D.
• Megan Lynn Wright, COTA

• All providers in Mayville, NY
• Pediatric Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.