Active NPI
Zachary Nordyke
- Case Manager/Care Coordinator
- Cincinnati, OH
National Provider Identifier
1669005286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 5880 Winton Ridge LN
Cincinnati, OH 45232-1121 - Phone
- (513) 426-6363
- NPI assigned
- Feb 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
5880 Winton Ridge LN
Cincinnati, OH 45232-1121
Mailing address
2101 Grandin Rd Apt 405
Cincinnati, OH 45208-3343
Phone (513) 623-8422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0393545 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zak Nordyke Holistic Fitness | Current | Accepting new patients | |
| Nordyke Health LLC | Case Manager/Care Coordinator | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Cincinnati, OH
- NPI 1184429466
Case Manager/Care Coordinator
-
- Mental Health Counselor
- Cincinnati, OH
- NPI 1376169490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1669005286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 GRANDIN RD APT 405",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452083343",
"telephone_number": "513-623-8422",
"fax_number": "888-460-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 WINTON RIDGE LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452321121",
"telephone_number": "513-426-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDYKE",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-21",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0393545",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.