Individual provider Active NPI

Beatrice Nyamusi Zok Sr.

  • Licensed Practical Nurse
  • Sun Prairie, WI
National Provider Identifier
1790104776
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
316538-31 Issued in WI
Practice address
340 Concord Dr
Sun Prairie, WI 53590-1704
Phone
(408) 915-9035
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 316538-31 WI Primary

Addresses

Primary practice location

340 Concord Dr
Sun Prairie, WI 53590-1704

Mailing address

340 Concord Dr
Sun Prairie, WI 53590-1704
Phone (408) 915-9035

Other names 1

  • Mrs. Beatrice Nyamusi Zok Sr. Other name

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
316538-31WIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1790104776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CONCORD DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901704",
            "telephone_number": "408-915-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 CONCORD DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901704",
            "telephone_number": "408-915-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOK",
        "first_name": "BEATRICE",
        "middle_name": "NYAMUSI",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "316538-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEATRICE",
            "last_name": "ZOK",
            "middle_name": "NYAMUSI",
            "prefix": "MRS.",
            "suffix": "SR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.