Active NPI
ZG Wellness and Dermatology
- Family Nurse Practitioner
- Crestview Hills, KY
National Provider Identifier
1629720511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ZG WELLNESS AND DERMATOLOGY
- Practice address
- 2853 Town Center Blvd
Crestview Hills, KY 41017-2412 - Phone
- (859) 344-3250
- NPI assigned
- Jan 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candace Reusch, APRN
- Title
- Owner
- Phone
- (859) 344-3250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2853 Town Center Blvd
Crestview Hills, KY 41017-2412
Mailing address
2853 Town Center Blvd
Crestview Hills, KY 41017-2412
Phone (859) 344-3250
National Provider Directory
National Provider DirectoryLocations
2853 Town Center Blvd
Crestview Hills, KY 41017
Phone (859) 344-3250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1629720511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2853 TOWN CENTER BLVD",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410172412",
"telephone_number": "859-344-3250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2853 TOWN CENTER BLVD",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410172412",
"telephone_number": "859-344-3250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZG WELLNESS AND DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "REUSCH",
"authorized_official_first_name": "CANDACE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-344-3250",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.