Individual provider Active NPI

Daylen Zaldivar, APRN

  • Nurse Practitioner
  • Goddard, KS
National Provider Identifier
1740995158
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-81834-022 Issued in KS
Practice address
501 Easy St
Goddard, KS 67052-9211
Phone
(316) 794-8635
NPI assigned
Jan 19, 2023
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-81834-022 KS Primary

Addresses

Primary practice location

501 Easy St
Goddard, KS 67052-9211

Mailing address

201 Jordan Rd Ste 200
Franklin, TN 37067-4495
Phone (731) 845-4813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20231222000706 KS Practitioner - Nurse Practitioner 0547610156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81834-022KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC Nurse Practitioner CurrentSince Nov 20, 2023 Accepting new patients

Locations

501 Easy St
Goddard, KS 67052
Phone (316) 794-8635

501 Assembly Ln
Paola, KS 66071
Phone (913) 294-3345

201 Jordan Rd
Ste 200
Franklin, TN 37067
Phone (615) 595-8383

1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 847-1356

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1740995158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 JORDAN RD STE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674495",
            "telephone_number": "731-845-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EASY ST",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670529211",
            "telephone_number": "316-794-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALDIVAR",
        "first_name": "DAYLEN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81834-022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goddard, KS

Sources for this page

Verify at the official NPI Registry.