Active NPI
Zacharias Israel Makoa Visitacion
- Nurse's Aide
- Colorado Springs, CO
National Provider Identifier
1467028746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA.00791430
- Practice address
- 2368 Research Pkwy
Colorado Springs, CO 80920-1027 - Phone
- (719) 309-0070
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA.00791430 | CO | Primary |
Addresses
Primary practice location
2368 Research Pkwy
Colorado Springs, CO 80920-1027
Mailing address
510 Millstream Ter
Colorado Springs, CO 80905-4215
Phone (719) 822-4706
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA.00791430 | CO | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1467028746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 MILLSTREAM TER",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809054215",
"telephone_number": "719-822-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2368 RESEARCH PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809201027",
"telephone_number": "719-309-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VISITACION",
"first_name": "ZACHARIAS",
"middle_name": "ISRAEL MAKOA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CO",
"license": "NA.00791430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
- Narine Viruni, MD
- Tiffany Vis
- Vision for Living Occupational Therapy Services LLC
- Vision Non-Emergency Medical Transportation
- Visions 4 You (Visions 4 You Home Care)
- Visiting Nurse Corporation of Colorado Inc. (Visiting Nurse Association)
- D'Esta Vissarriagas
- Amanda Visser, RBT
- Vital Med Supply LLC
- Vitality Aesthetics PLLC (Vitality Aesthetics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.