Kathryn Mary Zabak, GNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

NP07216 Issued in OH

Practice address

24165 Detroit Rd
Infinity NP
Westlake, OH 44145-1516

Phone

(440) 250-3560

Fax

(440) 617-1815

NPI assigned

Apr 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Qofl Services LLC

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1942554837
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240185600000",
    "number": "1295979359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 DETROIT RD",
            "address_2": "INFINITY NP",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451516",
            "telephone_number": "440-250-3560",
            "fax_number": "440-617-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24165 DETROIT RD",
            "address_2": "INFINITY NP",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451516",
            "telephone_number": "440-250-3560",
            "fax_number": "440-617-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABAK",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "credential": "GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "NP07216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2376816",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hani Yousef, DO
• Khadiga Yousif, MD
• Omer Abdelrahman Mohamed Yousif, MD
• Mary Yund, LSW
• Julianne Marie Yurik
• Dawn M Zacharias, MD
• Renee Jean Zacharias, APRN.CNP
• Susan Zacharias, LSW, LPCC-S
• Thomas F. Zak, D.C.
• Nicole M Zambory, NP

• Gerontology Nurse Practitioner in Westlake, OH
• Providers in Westlake, OH by specialty
• Gerontology Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.