Individual provider Active NPI

Mary Bethany Zaffina, RN

  • Registered Nurse
  • Westport, CT
National Provider Identifier
1376115717
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
90386 Issued in CT
Practice address
41 Marion Rd
Westport, CT 06880-2924
Phone
(203) 628-5954
NPI assigned
Jul 14, 2021
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 90386 CT Primary

Addresses

Primary practice location

41 Marion Rd
Westport, CT 06880-2924

Mailing address

41 Marion Rd
Westport, CT 06880-2924
Phone (203) 628-5954

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Westport

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

LicenseStateTypeSpecialty
90386CTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1376115717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MARION RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802924",
            "telephone_number": "203-628-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MARION RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802924",
            "telephone_number": "203-628-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFFINA",
        "first_name": "MARY",
        "middle_name": "BETHANY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "90386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Westport",
            "affiliation": "N",
            "address_1": "41 Marion Rd",
            "city": "Westport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068802924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.