Active NPI
Andrew Louis Zumbach, RN, NP-C
- Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1548574585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R 12970-6
- Practice address
- 255 Smith Ave N
Suite 100
Saint Paul, MN 55102-2572 - Phone
- (651) 241-5000
- Fax
- (651) 241-7678
- NPI assigned
- Aug 2, 2010
- Last updated
- Aug 2, 2010
- 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 Practitioner | 363L00000X | R 12970-6 | MN | Primary |
Addresses
Primary practice location
255 Smith Ave N
Suite 100
Saint Paul, MN 55102-2572
Mailing address
255 Smith Ave N
Suite 100
Saint Paul, MN 55102-2572
Phone (651) 241-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R 129701-6 | Other | MN | NURSING LIC. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 12970-6 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1548574585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 SMITH AVE N",
"address_2": "SUITE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022572",
"telephone_number": "651-241-5000",
"fax_number": "651-241-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 SMITH AVE N",
"address_2": "SUITE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022572",
"telephone_number": "651-241-5000",
"fax_number": "651-241-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUMBACH",
"first_name": "ANDREW",
"middle_name": "LOUIS",
"credential": "RN, NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-02",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R 12970-6",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LIC.",
"identifier": "R 129701-6",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.