Individual provider Active NPI

Catherine Mary Zawacki, RN, BSN, BS

  • Psychiatric/Mental Health Registered Nurse
  • Ann Arbor, MI
National Provider Identifier
1700158037
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
4704200127 Issued in MI
Practice address
442 Village Green Blvd
Apt. # 101
Ann Arbor, MI 48105-2780
Phone
(734) 994-3072
NPI assigned
Feb 2, 2012
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704200127 MI Primary

Addresses

Primary practice location

442 Village Green Blvd
Apt. # 101
Ann Arbor, MI 48105-2780

Mailing address

442 Village Green Blvd
Apt. # 101
Ann Arbor, MI 48105-2780
Phone (734) 994-3072

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
Credentials
Bachelor of Science, Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704200127MIMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1700158037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 VILLAGE GREEN BLVD",
            "address_2": "APT. # 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052780",
            "telephone_number": "734-994-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 VILLAGE GREEN BLVD",
            "address_2": "APT. # 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052780",
            "telephone_number": "734-994-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAWACKI",
        "first_name": "CATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704200127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.