Teliya Zyambo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1376178905 Issued in FL

Practice address

3357 W Vine St # 303
Kissimmee, FL 34741-4664

Phone

(407) 962-7449

NPI assigned

Mar 4, 2020

Last updated

Jun 6, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vital Minds Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winter Springs, FL
  • NPI 1972258218
  Medicare reassignment NPD Authorized official
• Psychiatric Consultants of Central Florida, LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Kissimmee, FL
  • NPI 1174951891
  Medicare reassignment NPD
• Nevada Internal Medicine Ctr-Burt MD LTD

  dba Nevada Internal Medicine Center

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1982734133
  NPD

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1376178905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414664",
            "telephone_number": "407-962-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3357 W VINE ST # 303",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414664",
            "telephone_number": "407-962-7449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 Big Buck Cir",
            "address_purpose": "LOCATION",
            "city": "Winter Springs",
            "state": "FL",
            "postal_code": "327085127",
            "country_code": "US",
            "telephone_number": "407-221-3678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZYAMBO",
        "first_name": "TELIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11006436",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "1376178905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Atif Zubairi, M.D.
• Manaal Zulfiqar
• Dianne S Zullow, MD
• Ana Lucia Zuniga, M.A., CCC-SLP
• Yuset Zuniga, LMHC
• Zzen Spa

• Psychiatric/Mental Health Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.