Jennie Elizabeth Zavaleta, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209030216 Issued in IL

Practice address

4922 W Chicago Ave
Chicago, IL 60651-3142

Phone

(773) 417-3784

NPI assigned

Apr 15, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Silver Lining Care LLCGroup PAC ID 2668842287, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25066/brand/1/csg/1/fhir/r4

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

• Silver Lining Care LLC

  dba Silver Lining Behavioral Health

  • Mental Health Counselor
  • Deerfield, IL
  • NPI 1962119891

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Greenbax Health Solutions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Park, IL
  • NPI 1538792221
  Medicare reassignment NPD
• Vito Pathways LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Plaines, IL
  • NPI 1891506192
  Medicare reassignment NPD

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1306690706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513142",
            "telephone_number": "773-417-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513142",
            "telephone_number": "773-417-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALETA",
        "first_name": "JENNIE",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209030216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel D Zavala Jr.
• Robert Zavala, PHARMD
• Luygy Richer Zavaleta Jara, M.D.
• Diana Zavaleta
• Javier Zavaleta, M.D.
• Suzanna Zavaleta, PHD
• Olga Zavelsky, M.D.
• Peter Thomas Zavislak, MD
• Joshua Michael Zavitz, D.O
• Myo Zaw, PHARM.D

• Psychiatric/Mental Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.