Active NPI
Jennylle Zanzi, FNP-C
- Nurse Practitioner
- Wake Forest, NC
National Provider Identifier
1265914360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ZANZ-IFYBBC
- Practice address
- 301 S White St
Wake Forest, NC 27587-2916 - Phone
- (786) 344-2774
- NPI assigned
- Sep 5, 2018
- Last updated
- Sep 5, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F08180387 | NC | |
| Nurse Practitioner | 363L00000X | ZANZ-IFYBBC | NC | Primary |
Addresses
Primary practice location
301 S White St
Wake Forest, NC 27587-2916
Mailing address
550 Callandale LN
Durham, NC 27703-9810
Phone (178) 634-4277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F08180387 | NC | MD | Nurse Practitioner |
| ZANZ-IFYBBC | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wound Care Virginia PLLC | Current | Accepting new patients | |
| Integrated Wound Care North Carolina PLLC | Current | Accepting new patients |
Locations
115 N Country Club Rd
Brevard, NC 28712
Phone (828) 553-2546
492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468
324 King George Ave SW
Roanoke, VA 24016
Phone (540) 309-9895
Organizations & group practices 2
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.
-
- General Practice Physician
- Brevard, NC
- NPI 1942865316
-
- General Practice Physician
- Roanoke, VA
- NPI 1407498397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1265914360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 CALLANDALE LN",
"city": "DURHAM",
"state": "NC",
"postal_code": "277039810",
"telephone_number": "178-634-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S WHITE ST",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872916",
"telephone_number": "786-344-2774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANZI",
"first_name": "JENNYLLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "F08180387",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "ZANZ-IFYBBC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.