Individual provider Active NPI

Angela M. Zalig

  • Blind Rehabilitation Specialist/Technologist
  • Green Bay, WI
National Provider Identifier
1629327309
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Blind Rehabilitation Specialist/TechnologistTaxonomy code 2255R0406X
License
2255R0406X Issued in WI
Practice address
200 N Jefferson St
Suite 511
Green Bay, WI 54301-5166
Phone
(920) 448-5234
Fax
(920) 448-5265
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Blind Rehabilitation Specialist/Technologist 2255R0406X 2255R0406X WI Primary

Addresses

Primary practice location

200 N Jefferson St
Suite 511
Green Bay, WI 54301-5166

Mailing address

200 N Jefferson St
Suite 511
Green Bay, WI 54301-5166
Phone (920) 448-5234

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2255R0406XWIMDBlind Rehabilitation Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1629327309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N JEFFERSON ST",
            "address_2": "SUITE 511",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543015166",
            "telephone_number": "920-448-5234",
            "fax_number": "920-448-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N JEFFERSON ST",
            "address_2": "SUITE 511",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543015166",
            "telephone_number": "920-448-5234",
            "fax_number": "920-448-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALIG",
        "first_name": "ANGELA",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255R0406X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Rehabilitation, Blind",
            "state": "WI",
            "license": "2255R0406X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.