Individual provider Active NPI

Denise Lynne Zeagler, LPN

  • Licensed Practical Nurse
  • Glendale, AZ
National Provider Identifier
1295456499
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
246348 Issued in AZ
Practice address
11232 N 65TH Ave
Glendale, AZ 85304-3640
Phone
(623) 412-4650
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 246348 AZ Primary

Addresses

Primary practice location

11232 N 65TH Ave
Glendale, AZ 85304-3640

Mailing address

18503 W Maui LN
Surprise, AZ 85388-7562
Phone (385) 955-8145

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL url

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
246348AZMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1295456499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18503 W MAUI LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853887562",
            "telephone_number": "385-955-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11232 N 65TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043640",
            "telephone_number": "623-412-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEAGLER",
        "first_name": "DENISE",
        "middle_name": "LYNNE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "246348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "url",
            "affiliation": "N",
            "address_1": "11232 N 65th Ave",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853043640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.