Individual provider Active NPI

Zacoia Green

  • Home Health Agency
  • Madison, WI
National Provider Identifier
1376147769
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
2104 E Washington Ave
Madison, WI 53704-5208
NPI assigned
Nov 25, 2020
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2104 E Washington Ave
Madison, WI 53704-5208

Mailing address

494 Blackbird LN
Madison, WI 53704-2444

Other practice location 1

2104 E Washington
Madsion, WI 53704

Other practice location 2

2104 E Washington Ave
Madison, WI 53704-5208

Other practice location 3

494 Blackbird Ln # 301
Madison, WI 53704-2444

Other practice location 4

494 Blackbird Ln
Madison, WI 53704-2444

Other practice location 5

494 Blackbird
301
Madison, WI 53704

Other practice location 6

494 Blackbird
301
Madison, WI 53704

Other practice location 7

494 Blackbird lane
Madison, WI 53704

Other practice location 8

2104 E Washington
Madsion, WI 53704

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

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1376147769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 BLACKBIRD LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537042444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2104 E Washington",
            "address_purpose": "LOCATION",
            "city": "Madsion",
            "state": "WI",
            "postal_code": "53704",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2104 E Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537045208",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "494 Blackbird Ln # 301",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537042444",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "494 Blackbird Ln",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537042444",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "494 Blackbird",
            "address_2": "301",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53704",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "494 Blackbird",
            "address_2": "301",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53704",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "494 Blackbird lane",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53704",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2104 E Washington",
            "address_purpose": "LOCATION",
            "city": "Madsion",
            "state": "WI",
            "postal_code": "53704",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ZACOIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.