Individual provider Active NPI

Nikita Marie Zvolensky

  • School Registered Nurse
  • Wooster, OH
National Provider Identifier
1699685545
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
354024 Issued in OH
Practice address
2695 Graustark Path
Wooster, OH 44691-1607
Phone
(330) 345-6475
Fax
(330) 345-8237
NPI assigned
Sep 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 354024 OH Primary

Addresses

Primary practice location

2695 Graustark Path
Wooster, OH 44691-1607

Mailing address

2695 Graustark Path
Wooster, OH 44691-1607
Phone (330) 345-6475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1699685545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 GRAUSTARK PATH",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911607",
            "telephone_number": "330-345-6475",
            "fax_number": "330-345-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 GRAUSTARK PATH",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911607",
            "telephone_number": "330-345-6475",
            "fax_number": "330-345-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZVOLENSKY",
        "first_name": "NIKITA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OH",
            "license": "354024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.