Active NPI
Frank David Zuccala, FNP-BC
- Nurse Practitioner
- Havre, MT
National Provider Identifier
1730809054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NUR-APRN-LIC-197381
- Practice address
- 300 13TH St W
Havre, MT 59501-5145 - Phone
- (406) 265-3591
- NPI assigned
- Aug 29, 2022
- Last updated
- Jan 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NUR-APRN-LIC-197381 | MT | Primary |
Addresses
Primary practice location
300 13TH St W
Havre, MT 59501-5145
Mailing address
PO Box 7751
Havre, MT 59501-7751
Phone (513) 657-9771
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-197381 | MT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1730809054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7751",
"city": "HAVRE",
"state": "MT",
"postal_code": "595017751",
"telephone_number": "513-657-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 13TH ST W",
"city": "HAVRE",
"state": "MT",
"postal_code": "595015145",
"telephone_number": "406-265-3591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCCALA",
"first_name": "FRANK",
"middle_name": "DAVID",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-29",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "NUR-APRN-LIC-197381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.