Edgar Zepeda

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CHW1-5228 Issued in NV

Practice address

2244 Oddie Blvd
Sparks, NV 89431-7574

Phone

(775) 329-6300

Fax

(775) 336-0652

NPI assigned

Sep 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1578283057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 ODDIE BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894317574",
            "telephone_number": "775-329-6300",
            "fax_number": "775-336-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 ODDIE BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894317574",
            "telephone_number": "775-329-6300",
            "fax_number": "775-336-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "EDGAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW1-5228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natassia Zander
• Justin Zeigler
• Ryan P Zeller, DO
• Zen Mind Mental Health by Ballinger PLLC
• Ethel Elaine Zentz
• Olivia Valentina Zicari, FNP-C
• Ange Kay Zimmerman, MA
• Julianna Zoller, M.S., CCC-SLP
• Jeffrey S Zollinger, DO
• Josu Antxon Zubizarreta

• Community Health Worker in Sparks, NV
• Providers in Sparks, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.