Individual provider Active NPI

Jean Marie Zahalka, RN

  • General Practice Registered Nurse
  • Everett, WA
National Provider Identifier
1497991053
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN00051798 Issued in WA
Practice address
3020 Rucker Ave
Suite 300
Everett, WA 98201-3900
Phone
(425) 339-8717
Fax
(425) 339-8706
NPI assigned
Dec 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN00051798 WA Primary

Addresses

Primary practice location

3020 Rucker Ave
Suite 300
Everett, WA 98201-3900

Mailing address

5629 220TH St NW
Stanwood, WA 98292-6807
Phone (360) 654-1350

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
RN00051798WAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Snohomish County PastSince Aug 6, 2023 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": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1497991053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 220TH ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982926807",
            "telephone_number": "360-654-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 RUCKER AVE",
            "address_2": "SUITE 300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013900",
            "telephone_number": "425-339-8717",
            "fax_number": "425-339-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHALKA",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "RN00051798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.