Active NPI
Kathleen A Zieziulewicz, RN, CDE
- Diabetes Educator Registered Nurse
- Albany, NY
National Provider Identifier
1538328661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 491910
- Practice address
- 501 New Karner Rd
Suite 1a
Albany, NY 12205-3882 - Phone
- (518) 452-1337
- Fax
- (518) 724-6660
- NPI assigned
- Jun 4, 2008
- 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 |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 491910 | NY | Primary |
Addresses
Primary practice location
501 New Karner Rd
Suite 1a
Albany, NY 12205-3882
Mailing address
501 New Karner Rd
Suite 1a
Albany, NY 12205-3882
Phone (518) 452-1337
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9061131 | Other | NY | AETNA |
| 1G1521 | Other | NY | EMPIRE BC |
| 000418106001 | Other | NY | BSNENY |
| 129658 | Other | NY | GHI-HMO |
| 300797 | Other | NY | SENIOR WHOLE HEALTH |
| 10135297 | Other | NY | CDPHP |
| 6020316 | Other | NY | MVP HEALTHCARE |
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)
- Enrolled
- Credentials
- Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1538328661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 NEW KARNER RD",
"address_2": "SUITE 1A",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053882",
"telephone_number": "518-452-1337",
"fax_number": "518-724-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 NEW KARNER RD",
"address_2": "SUITE 1A",
"city": "ALBANY",
"state": "NY",
"postal_code": "122053882",
"telephone_number": "518-452-1337",
"fax_number": "518-724-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEZIULEWICZ",
"first_name": "KATHLEEN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "RN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "491910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9061131",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "1G1521",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000418106001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI-HMO",
"identifier": "129658",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "300797",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10135297",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "6020316",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.