Individual provider Active NPI

Kathleen Mary Zelin, N.P.

  • Pediatric Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1295909067
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704149520 Issued in MI
Practice address
3901 Beaubien St
Cardiology Dept, 2ND Floor
Detroit, MI 48201-2119
Phone
(313) 745-2441
Fax
(313) 993-0894
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704149520 MI Primary

Addresses

Primary practice location

3901 Beaubien St
Cardiology Dept, 2ND Floor
Detroit, MI 48201-2119

Mailing address

31012 Dorais St
Livonia, MI 48154-3204
Phone (734) 261-5361

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704149520MIMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kzelin@direct.dmc.org

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1295909067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31012 DORAIS ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543204",
            "telephone_number": "734-261-5361",
            "fax_number": "313-993-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN ST",
            "address_2": "CARDIOLOGY DEPT, 2ND FLOOR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-745-2441",
            "fax_number": "313-993-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELIN",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704149520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.