Active NPI
Virginia Anne Zachary-Bennett, N.P.
- Family Nurse Practitioner
- Huntington Beach, CA
National Provider Identifier
1790217024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006093
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.