Individual provider Active NPI

Sara Bonnette Zito, FNP-C

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1720336613
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06917 Issued in LA
Practice address
3033 Jackson St
Alexandria, LA 71301-4744
Phone
(318) 767-2000
Fax
(318) 442-5766
NPI assigned
Aug 27, 2012
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06917 LA Primary

Addresses

Primary practice location

3033 Jackson St
Alexandria, LA 71301-4744

Mailing address

6932 Monroe Hwy
Ball, LA 71405-3232
Phone (318) 419-8937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20170630001413 LA Practitioner - Nurse Practitioner 0941201461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5609 Monroe Hwy
Ball, LA 71405-3358
Phone (318) 419-8937

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP06917LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Hospice, LLC CurrentSince Oct 1, 2006 Accepting new patients

Locations

6932 Monroe Hwy
Ball, LA 71405

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Still Waters Hospice, LLCAlexandria, LA, CCN 191636 Hospice Limited Partnership Interest (50%)
W-2 Managing Employee (50%)
Oct 1, 2006
Oct 1, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1720336613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 MONROE HWY",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714053232",
            "telephone_number": "318-419-8937",
            "fax_number": "318-442-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014744",
            "telephone_number": "318-767-2000",
            "fax_number": "318-442-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITO",
        "first_name": "SARA",
        "middle_name": "BONNETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.