Individual provider Active NPI

Penelope A Zaiter, ARNP

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1700385457
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
302981 Issued in NC
Practice address
1261 Oliver Street
Fayetteville, NC 28304-4450
Phone
(910) 323-1626
Fax
(910) 323-9056
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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 302981 NC Primary
Family Nurse Practitioner 363LF0000X ARNP9212262 FL

Addresses

Primary practice location

1261 Oliver Street
Fayetteville, NC 28304-4450

Mailing address

1261 Oliver Street
Fayetteville, NC 28304-4450
Phone (910) 323-1626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180702000872 NC Practitioner - Nurse Practitioner 6002953155 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9212262FLMDFamily Nurse Practitioner
302981NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Care Home Health Agency Inc CurrentSince Aug 29, 2009 Accepting new patients

Locations

1261 Oliver St
Fayetteville, NC 28304
Phone (910) 323-1626

Interoperability endpoints

  • Direct secure messaging: penelope.zaiter.1@18808.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1700385457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 OLIVER STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044450",
            "telephone_number": "910-323-1626",
            "fax_number": "910-323-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 OLIVER STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044450",
            "telephone_number": "910-323-1626",
            "fax_number": "910-323-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAITER",
        "first_name": "PENELOPE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "302981",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9212262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.