Active NPI
Laura T Zibecchi, NP
- Women's Health Nurse Practitioner
- Burbank, CA
National Provider Identifier
1619988383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 5114
- Practice address
- 191 S Buena Vista St
Suite 415
Burbank, CA 91505-4554 - Phone
- (818) 333-2555
- Fax
- (818) 333-2559
- NPI assigned
- Aug 10, 2006
- Last updated
- Nov 13, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5114 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | 5114 | CA | Primary |
| Registered Nurse | 163W00000X | 348603 | CA |
Addresses
Primary practice location
191 S Buena Vista St
Suite 415
Burbank, CA 91505-4554
Mailing address
191 S Buena Vista St
Suite 415
Burbank, CA 91505-4554
Phone (818) 333-2555
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 348603 | CA | MD | Registered Nurse |
| 5114 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Medical Group | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1619988383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 S BUENA VISTA ST",
"address_2": "SUITE 415",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054554",
"telephone_number": "818-333-2555",
"fax_number": "818-333-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 S BUENA VISTA ST",
"address_2": "SUITE 415",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054554",
"telephone_number": "818-333-2555",
"fax_number": "818-333-2559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIBECCHI",
"first_name": "LAURA",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "5114",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "5114",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "348603",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.