Organization Active NPI

ZG Wellness and Dermatology

  • Family Nurse Practitioner
  • Crestview Hills, KY
National Provider Identifier
1629720511
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jan 21, 2022

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.