Individual provider Active NPI

Rachel Zizza, RN

  • Family Nurse Practitioner
  • Eureka, CA
National Provider Identifier
1609251909
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012038 Issued in CA
Practice address
2316 Harrison Ave
Eureka, CA 95501-3217
Phone
(707) 442-0478
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 835390 CA
Family Nurse Practitioner 363LF0000X 95012038 CA Primary

Addresses

Primary practice location

2316 Harrison Ave
Eureka, CA 95501-3217

Mailing address

PO Box 7187
Eureka, CA 95502-7187
Phone (707) 267-5598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221031001562 CA Practitioner - Nurse Practitioner 4183091440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt del Norte Independent Practice AssociationGroup PAC ID 1658367776, 3 clinicians

Practice addresses (Care Compare)

2316 Harrison Ave
Eureka, CA 95501-3217
Phone (707) 442-0478

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
835390CAMDRegistered Nurse
95012038CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt del Norte Independent Practice Association CurrentSince Jul 5, 2022 Accepting new patients

Locations

2315 Dean St
Eureka, CA 95501
Phone (707) 525-3786

2662 Harris St
Eureka, CA 95503
Phone 707443446314

2316 Harrison Ave
Eureka, CA 95501
Phone (707) 442-0478

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.

Hospital & facility affiliations 4

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1609251909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7187",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955027187",
            "telephone_number": "707-267-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013217",
            "telephone_number": "707-442-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIZZA",
        "first_name": "RACHEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "835390",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.