Active NPI
Tina Jo Zomok, RN
- Home Health Registered Nurse
- Janesville, WI
National Provider Identifier
1295956548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Practice address
- 930 N Washington St
Janesville, WI 53548-2876 - Phone
- (608) 756-5111
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | WI | Primary |
Addresses
Primary practice location
930 N Washington St
Janesville, WI 53548-2876
Mailing address
1117 Jackson St
Stoughton, WI 53589-1212
Phone (608) 290-1728
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
| License | State | Type | Specialty |
|---|---|---|---|
| 127142-030 | WI | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295956548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 JACKSON ST",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535891212",
"telephone_number": "608-290-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482876",
"telephone_number": "608-756-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOMOK",
"first_name": "TINA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.