Active NPI
Krista Kory Van Zeyl, MFT
- Student in an Organized Health Care Education/Training Program
- Sacramento, CA
National Provider Identifier
1487703914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 50885
- Practice address
- 1111 Howe Ave Ste 390
Sacramento, CA 95825-8543 - Phone
- (916) 531-6996
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 50885 | CA | Primary |
Addresses
Primary practice location
1111 Howe Ave Ste 390
Sacramento, CA 95825-8543
Mailing address
PO Box 125
Suisun City, CA 94585-0125
Phone (707) 580-8597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115834 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES LICENSE |
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 |
|---|---|---|---|
| 50885 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1487703914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 125",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "945850125",
"telephone_number": "707-580-8597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 HOWE AVE STE 390",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958258543",
"telephone_number": "916-531-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ZEYL",
"first_name": "KRISTA",
"middle_name": "KORY",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "50885",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES LICENSE",
"identifier": "115834",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.