Individual provider Active NPI

Rene Walberto Zambrana, DNP, ARNP

  • Primary Care Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1730630880
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2529982 Issued in FL
Practice address
751 SE Sycamore Ter
Lake City, FL 32025-6216
Phone
(386) 758-0600
Fax
(386) 758-0548
NPI assigned
Oct 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2529982 FL Primary

Addresses

Primary practice location

751 SE Sycamore Ter
Lake City, FL 32025-6216

Mailing address

751 SE Sycamore Ter
Lake City, FL 32025-6216
Phone (386) 758-0600

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

State licenses

LicenseStateTypeSpecialty
2529982FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1730630880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 SE SYCAMORE TER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256216",
            "telephone_number": "386-758-0600",
            "fax_number": "386-758-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 SE SYCAMORE TER",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256216",
            "telephone_number": "386-758-0600",
            "fax_number": "386-758-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBRANA",
        "first_name": "RENE",
        "middle_name": "WALBERTO",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "2529982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.