Kristy A Zechiel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35079432 Issued in OH

Practice address

1250 W National Rd Ste 400
Englewood, OH 45315

Phone

(937) 836-6000

Fax

(937) 832-4805

NPI assigned

Dec 29, 2005

Last updated

Nov 12, 2020By 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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1376520353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W NATIONAL RD STE 400",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453159506",
            "telephone_number": "937-836-6000",
            "fax_number": "937-832-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W NATIONAL RD STE 400",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "45315",
            "telephone_number": "937-836-6000",
            "fax_number": "937-832-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZECHIEL",
        "first_name": "KRISTY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35.079432",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35079432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2522765",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kzechiel181035@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1250 W National Rd Ste 400",
            "city": "Englewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1250 W National Rd Ste 400",
            "city": "Englewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leiland Carter Woods, CASE MANAGER
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• Dwana Shanee Woullard, LPN
• Kylie Alinda Yenney, RPH
• Camila Zamorano Restrepo, ATC
• Layla Melissa Zickefoose, LCSW, LISW

• Family Medicine Physician in Englewood, OH
• Providers in Englewood, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.