Active NPI
Ziongloria Hezekiah, MS
- Pastoral Counselor
- Avondale, AZ
National Provider Identifier
1700426392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- NONE
- Practice address
- 11979 W. Fillmore St
Avondale, AZ 85323 - Phone
- (520) 709-5418
- NPI assigned
- Jan 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NONE | MS | |
| Pastoral Counselor | 101YP1600X | NONE | MS | Primary |
Addresses
Primary practice location
11979 W. Fillmore St
Avondale, AZ 85323
Mailing address
11979 W. Fillmore St
Avondale, AZ 85323
Phone (520) 709-5418
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 520-709-5418 | Other | AZ | PHONE 520-709-5418 |
| 520-709-5418 | Other | MS | PHONE 520-709-5418 |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Voss-Services.com | Other | |
| CONNECT URL | Voss-Services.com | Other |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NONE | MS | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1700426392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11979 W. FILLMORE ST",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "85323",
"telephone_number": "520-709-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11979 W. FILLMORE ST",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "85323",
"telephone_number": "520-709-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEZEKIAH",
"first_name": "ZIONGLORIA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MS",
"license": "NONE",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "MS",
"license": "NONE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHONE 520-709-5418",
"identifier": "520-709-5418",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHONE 520-709-5418",
"identifier": "520-709-5418",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Voss-Services.com",
"affiliation": "N",
"endpointDescription": "web-site",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "information exchange",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2436 Beach Blvd Apt X2",
"city": "Biloxi",
"state": "MS",
"country_code": "US",
"postal_code": "395314907",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Voss-Services.com",
"affiliation": "N",
"endpointDescription": "web-site",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "information exchange",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2436 Beach Blvd Apt X2",
"city": "Biloxi",
"state": "MS",
"country_code": "US",
"postal_code": "395314907",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.