Individual provider Active NPI

Zahra Rajaeian, CRNP

  • Nurse Practitioner
  • Kingston, PA
National Provider Identifier
1679469191
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP033096 Issued in PA
Practice address
517 Pierce St
Kingston, PA 18704-5756
Phone
(570) 371-3536
NPI assigned
Jun 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 SP033096 PA Primary

Addresses

Primary practice location

517 Pierce St
Kingston, PA 18704-5756

Mailing address

320 Gateway CT Apt B
Edwardsville, PA 18704-5936
Phone (215) 796-4547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250930000973 PA Practitioner - Nurse Practitioner 2365943925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

517 Pierce St
Kingston, PA 18704-5756

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP033096PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
D'Andrea Cardiovascular Care Center LLC CurrentSince Jul 18, 2025 Accepting new patients

Locations

517 Pierce St
Kingston, PA 18704
Phone (570) 371-3536

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5915/brand/4/csg/1/fhir/r4
  • Direct secure messaging: zahra.rajaeian.1@5915.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1679469191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 GATEWAY CT APT B",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187045936",
            "telephone_number": "215-796-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045756",
            "telephone_number": "570-371-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAEIAN",
        "first_name": "ZAHRA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP033096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

Verify at the official NPI Registry.