Individual provider Active NPI

Margaret H Zoellers, APRN

  • Nurse Practitioner
  • London, KY
National Provider Identifier
1669408423
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2556P Issued in KY
Practice address
148 London Mountain View Dr Ste 4
London, KY 40741-6617
Phone
(606) 864-0103
Fax
(606) 878-0504
NPI assigned
Jun 24, 2006
Last updated
Jul 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2556P KY Primary

Addresses

Primary practice location

148 London Mountain View Dr Ste 4
London, KY 40741-6617

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other identifiers 2

IdentifierTypeStateIssuer
3002556OtherKYMEDICAL LICENSE
78025566MedicaidKY

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2556PKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates PSC Current Accepting new patients
Grace Community Health Center, Inc. Past Accepting new patients
Womens Health Associates PLLC Past Accepting new patients
Baptist Physicians Southeast, Inc. Nurse Practitioner Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1 Trillium Way
#200
Corbin, KY 40701
Phone (606) 528-5527

1 Trillium Way
Ste 200
Corbin, KY 40701
Phone (606) 528-5527

1 Trillium Way
Ste 301
Corbin, KY 40701
Phone (606) 526-7363

Interoperability endpoints

  • Direct secure messaging: margaretzoellers@kysjhspe.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1669408423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 LONDON MOUNTAIN VIEW DR STE 4",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416617",
            "telephone_number": "606-864-0103",
            "fax_number": "606-878-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOELLERS",
        "first_name": "MARGARET",
        "middle_name": "H",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2556P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "3002556",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78025566",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.