Individual provider Active NPI

Tika Bienvenu Zabalou, CNA

  • Nurse's Aide
  • Raleigh, NC
National Provider Identifier
1801307764
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Practice address
5106 Windy Hill Dr Apt D
Raleigh, NC 27609-4954
Phone
(919) 523-4453
NPI assigned
Oct 18, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NC
Nurse's Aide 376K00000X NC Primary

Addresses

Primary practice location

5106 Windy Hill Dr Apt D
Raleigh, NC 27609-4954

Mailing address

5106 Windy Hill Dr Apt D
Raleigh, NC 27609-4954
Phone (919) 523-4453

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

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1801307764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 WINDY HILL DR APT D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094954",
            "telephone_number": "919-523-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 WINDY HILL DR APT D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094954",
            "telephone_number": "919-523-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABALOU",
        "first_name": "TIKA",
        "middle_name": "BIENVENU",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.