Active NPI
Garry Lee Zembower Jr., LPN
- Licensed Practical Nurse
- New Palestine, IN
National Provider Identifier
1689877466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 27040913A
- Practice address
- 6508 W Sweet Creek Dr
New Palestine, IN 46163-9567 - Phone
- (317) 529-8310
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27040913A | IN | Primary |
Addresses
Primary practice location
6508 W Sweet Creek Dr
New Palestine, IN 46163-9567
Mailing address
6508 W Sweet Creek Dr
New Palestine, IN 46163-9567
Phone (317) 529-8310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27040913A | Other | IN | PRACTICAL NURSING LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27040913A | IN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689877466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6508 W SWEET CREEK DR",
"city": "NEW PALESTINE",
"state": "IN",
"postal_code": "461639567",
"telephone_number": "317-529-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6508 W SWEET CREEK DR",
"city": "NEW PALESTINE",
"state": "IN",
"postal_code": "461639567",
"telephone_number": "317-529-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEMBOWER",
"first_name": "GARRY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IN",
"license": "27040913A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRACTICAL NURSING LICENSE",
"identifier": "27040913A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Palestine, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.