Individual provider Active NPI

Heather Rae Zutz, APNP, GNP

  • Gerontology Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1831240936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2588-033 Issued in WI
Practice address
10701 W Research Dr
Milwaukee, WI 53226-3452
Phone
(414) 708-1430
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2588-033 WI Primary

Addresses

Primary practice location

10701 W Research Dr
Milwaukee, WI 53226-3452

Mailing address

1809 E Olive St Apt 301
Shorewood, WI 53211-2051
Phone (414) 708-1430

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

State licenses

LicenseStateTypeSpecialty
2588-033WIMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831240936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E OLIVE ST APT 301",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112051",
            "telephone_number": "414-708-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W RESEARCH DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263452",
            "telephone_number": "414-708-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUTZ",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "APNP, GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WI",
            "license": "2588-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.