Individual provider Active NPI

Dana Alice Zuidema, FNP

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1649797804
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993341-NP Issued in CO
Practice address
110 E Routt Ave
Pueblo, CO 81004-2117
Phone
(719) 543-8711
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0993341-NP CO Primary

Addresses

Primary practice location

110 E Routt Ave
Pueblo, CO 81004-2117

Mailing address

110 E Routt Ave
Pueblo, CO 81004-2117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171120001931 CO Practitioner - Nurse Practitioner 9234496654 Reassigns benefits to 1 organization
I20200424001709 AZ Practitioner - Nurse Practitioner 9234496654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Akdhc LLCGroup PAC ID 8123912136, 125 clinicians

Practice addresses (Care Compare)

2545 E Thomas Rd
Suite 120
Phoenix, AZ 85016-7969
Phone (602) 419-3378

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Akdhc, LLC CurrentSince Dec 13, 2021 Accepting new patients
Akdhc, LLC CurrentSince Dec 13, 2021 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Oct 7, 2017 Accepting new patients
Akdhc Surgery Center, LLC Current Accepting new patients
Akdhc, LLC Current Accepting new patients
Pueblo Community Health Center Inc CurrentSince Oct 7, 2017 Accepting new patients
Southwest Kidney Institute, PLC Past Accepting new patients
Akdhc, LLC Past Accepting new patients

Locations

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

13657 W McDowell Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 243-6538

2501 N Stockton Hill Rd
Ste 102
Kingman, AZ 86401
Phone (928) 681-2772

6553 E Baywood Ave
Ste 205
Mesa, AZ 85206
Phone (480) 396-9922

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

9100 N 2nd St
Ste 221
Phoenix, AZ 85020
Phone (602) 943-1231

2545 E Thomas Rd
Ste 120
Phoenix, AZ 85016
Phone (602) 419-3378

3333 E Camelback Rd
Ste 180
Phoenix, AZ 85018
Phone (602) 997-0484

3320 N 2nd St
Phoenix, AZ 85012
Phone (602) 200-8288

3330 N 2nd St
Ste 206
Phoenix, AZ 85012
Phone (602) 279-7871

21410 N 19th Ave
Ste 131
Phoenix, AZ 85027
Phone (602) 997-0484

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

2545 E Thomas Rd
Ste 110
Phoenix, AZ 85016
Phone (602) 309-1532

21321 E Ocotillo Rd
Ste 102
Queen Creek, AZ 85142
Phone (480) 553-9277

2115 W 16th St
Safford, AZ 85546
Phone (520) 624-7445

7301 E 2nd St
Ste 118
Scottsdale, AZ 85251
Phone (480) 994-1238

5555 Mesa Verde Dr
Ste 100
Sierra Vista, AZ 85635
Phone (520) 529-6500

10615 W Thunderbird Blvd
Ste 155
Sun City, AZ 85351

700 E Broadway Blvd
Ste 100
Tucson, AZ 85719
Phone (520) 327-6265

905 N Bowie Ave
Willcox, AZ 85643
Phone (520) 326-4811

500 Indiana Ave
Winslow, AZ 86047

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

Interoperability endpoints

  • Direct secure messaging: dana.zuidema.1@11625.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1649797804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E ROUTT AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E ROUTT AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042117",
            "telephone_number": "719-543-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUIDEMA",
        "first_name": "DANA",
        "middle_name": "ALICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993341-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.