Individual provider Active NPI

Jenny Dabdoub Zulli, APRN-CNP

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1346024460
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
232092 Issued in LA
Practice address
56634 Bosworth St
Slidell, LA 70458-8625
Phone
(504) 620-5520
Fax
(504) 766-0974
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 232092 LA Primary

Addresses

Primary practice location

56634 Bosworth St
Slidell, LA 70458-8625

Mailing address

56634 Bosworth St
Slidell, LA 70458-8625
Phone (504) 620-5520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20231113003500 LA Practitioner - Nurse Practitioner 2961859954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Health Solutions LLCGroup PAC ID 5597097576, 7 clinicians

Practice addresses (Care Compare)

3001 Division St
Suite 105
Metairie, LA 70002-5854
Phone (504) 832-3937

56634 Bosworth St
Slidell, LA 70458-8625
Phone (985) 641-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Health Solutions, LLC CurrentSince Oct 1, 2023 Accepting new patients
Dr. Brenton G. Schulz, LLC PastSince Dec 14, 2009 Accepting new patients
La Tchops LLC Past Accepting new patients

Locations

4940 Lapalco Blvd
#A
Marrero, LA 70072
Phone (504) 340-9334

3001 Division St
Ste 105
Metairie, LA 70002
Phone (504) 832-3937

56634 Bosworth St
Slidell, LA 70458
Phone (985) 641-2222

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1346024460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56634 BOSWORTH ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588625",
            "telephone_number": "504-620-5520",
            "fax_number": "504-766-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56634 BOSWORTH ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588625",
            "telephone_number": "504-620-5520",
            "fax_number": "504-766-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULLI",
        "first_name": "JENNY",
        "middle_name": "DABDOUB",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "232092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.