Individual provider Active NPI

Zephaniah Chepkwony, CNP

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1538845847
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54661 Issued in NM
Practice address
222 S Main St Ste 500
Salt Lake City, UT 84101-2275
Phone
(505) 382-2776
NPI assigned
Jun 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 54661 NM
Family Nurse Practitioner 363LF0000X 54661 NM Primary

Addresses

Primary practice location

222 S Main St Ste 500
Salt Lake City, UT 84101-2275

Mailing address

222 S Main St Ste 500
Salt Lake City, UT 84101-2275
Phone (505) 382-2776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809000733 NM Practitioner - Nurse Practitioner 8527420405 Reassigns benefits to 2 organizations
Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5909 Alice Ave NE
Albuquerque, NM 87110-6501
Phone (505) 588-7048

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
54661NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kowehealth LLC Family CurrentSince Apr 23, 2024 Accepting new patients
Post Acute Rehabilitation Physicians LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2023 Accepting new patients

Locations

1209 Mountain Road Pl NE
Ste R
Albuquerque, NM 87110
Phone (505) 400-0978

5909 Alice Ave NE
Albuquerque, NM 87110
Phone (505) 200-2647

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIFEDD/Endpoint/DIFEDD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1538845847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S MAIN ST STE 500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012275",
            "telephone_number": "505-382-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MAIN ST STE 500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012275",
            "telephone_number": "505-382-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEPKWONY",
        "first_name": "ZEPHANIAH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "54661",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "54661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.