Individual provider Active NPI

Jillian Marie Zembower, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1700300886
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021378 Issued in OH
Practice address
1044 Belmont Ave FL 2
Youngstown, OH 44504-1006
Phone
(330) 480-3990
Fax
(330) 480-3522
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.021378 OH Primary
Family Nurse Practitioner 363LF0000X 021378 OH

Addresses

Primary practice location

1044 Belmont Ave FL 2
Youngstown, OH 44504-1006

Mailing address

1044 Belmont Ave FL 2
Youngstown, OH 44504-1006
Phone (330) 480-3990

Other names 1

  • Jillian Malandro Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170830002302 OH Practitioner - Nurse Practitioner 8426321274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Counseling LLCGroup PAC ID 0941554133, 17 clinicians

Practice addresses (Care Compare)

5760 Patriot Blvd
Suite C
Austintown, OH 44515-1170
Phone (330) 270-8610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
021378OHMDFamily Nurse Practitioner
APRN.CNP.021378OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Family CurrentSince Aug 15, 2017 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
On Demand Counseling LLC Past Accepting new patients

Locations

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

1044 Belmont Ave
Fl 2
Youngstown, OH 44504
Phone (330) 480-3868

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1700300886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE FL 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-3990",
            "fax_number": "330-480-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE FL 2",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-3990",
            "fax_number": "330-480-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMBOWER",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021378",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "021378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "MALANDRO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.