Individual provider Active NPI

Debra Zook Von Enck

  • Medical-Surgical Clinical Nurse Specialist
  • Parma, OH
National Provider Identifier
1295340065
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
CNS00461 Issued in OH
Practice address
6707 State Rd
Parma, OH 44134-4595
Phone
(440) 545-7037
Fax
(440) 866-6040
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X CNS00461 OH Primary

Addresses

Primary practice location

6707 State Rd
Parma, OH 44134-4595

Mailing address

6707 State Rd
Parma, OH 44134-4595
Phone (440) 888-7722

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dvonenck@holyfamilyhome.com Direct

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
CNS00461OHMDMedical-Surgical Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1295340065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344595",
            "telephone_number": "440-888-7722",
            "fax_number": "440-866-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344595",
            "telephone_number": "440-545-7037",
            "fax_number": "440-866-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON ENCK",
        "first_name": "DEBRA",
        "middle_name": "ZOOK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "OH",
            "license": "CNS00461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dvonenck@holyfamilyhome.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6707 State Rd",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441344595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.