Individual provider Active NPI

Christopher Dale Zielke, RN

  • Registered Nurse
  • Fort Riley, KS
National Provider Identifier
1407282635
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
14-77651-121 Issued in KS
Practice address
13A Forsyth Ave
Fort Riley, KS 66442
Phone
(785) 817-1201
NPI assigned
Sep 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R050048 AR
Registered Nurse 163W00000X 14-77651-121 KS Primary

Addresses

Primary practice location

13A Forsyth Ave
Fort Riley, KS 66442

Mailing address

13A Forsyth Ave
Fort Riley, KS 66442
Phone (785) 817-1201

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
R050048ARMDRegistered Nurse
14-77651-121KSMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1407282635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13A FORSYTH AVE",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "66442",
            "telephone_number": "785-817-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13A FORSYTH AVE",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "66442",
            "telephone_number": "785-817-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R050048",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-77651-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Riley, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.