Individual provider Active NPI

Karen Anne Zybak, RN

  • Registered Nurse
  • Frankfort, IL
National Provider Identifier
1285038778
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041.341773 Issued in IL
Practice address
20211 S Jonquil LN
Frankfort, IL 60423-8350
Phone
(815) 464-0116
NPI assigned
Oct 13, 2014
Last updated
Oct 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.341773 IL Primary
Licensed Vocational Nurse 164X00000X 043.088604 IL

Addresses

Primary practice location

20211 S Jonquil LN
Frankfort, IL 60423-8350

Mailing address

20211 S Jonquil LN
Frankfort, IL 60423-8350
Phone (815) 464-0116

Other names 1

  • Miss Karen Anne Krydynski Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.341773ILMDRegistered Nurse
043.088604ILMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1285038778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 S JONQUIL LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238350",
            "telephone_number": "815-464-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20211 S JONQUIL LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238350",
            "telephone_number": "815-464-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYBAK",
        "first_name": "KAREN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.341773",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "IL",
            "license": "043.088604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "KRYDYNSKI",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.