Individual provider Active NPI

Amber Nicole Zoot, CNA

  • Home Health Aide
  • Vancouver, WA
National Provider Identifier
1275049744
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
60603906 Issued in WA
Practice address
2305 NE 129TH St
Vancouver, WA 98686-3212
Phone
(360) 200-0776
NPI assigned
Dec 20, 2017
Last updated
Dec 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 60603906 WA Primary

Addresses

Primary practice location

2305 NE 129TH St
Vancouver, WA 98686-3212

Mailing address

206 NE 126TH Ave Apt E59
Vancouver, WA 98684-1809
Phone (360) 852-0345

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60603906WAMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1275049744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NE 126TH AVE APT E59",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986841809",
            "telephone_number": "360-852-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 NE 129TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863212",
            "telephone_number": "360-200-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOOT",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "WA",
            "license": "60603906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.