Individual provider Active NPI

Virginia Anne Zachary-Bennett, N.P.

  • Family Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1790217024
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006093 Issued in CA
Practice address
18800 Main St.
Suite 103
Huntington Beach, CA 92648-1717
Phone
(714) 842-8100
Fax
(714) 842-8181
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95006093 CA
Family Nurse Practitioner 363LF0000X 95006093 CA Primary

Addresses

Primary practice location

18800 Main St.
Suite 103
Huntington Beach, CA 92648-1717

Mailing address

18800 Main St.
Suite 103
Huntington Beach, CA 92648-1717
Phone (714) 842-8100

Other names 1

  • Ms. Virginia Anne Zachary Former 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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1790217024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST.",
            "address_2": "SUITE 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481717",
            "telephone_number": "714-842-8100",
            "fax_number": "714-842-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST.",
            "address_2": "SUITE 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481717",
            "telephone_number": "714-842-8100",
            "fax_number": "714-842-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARY-BENNETT",
        "first_name": "VIRGINIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95006093",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "ZACHARY",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.