Individual provider Active NPI

Christina M. Zayicek, CNP

  • Family Nurse Practitioner
  • Painesville, OH
National Provider Identifier
1861769630
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.12847-NP Issued in OH
Practice address
7580 Auburn Rd
#202
Painesville, OH 44077
Phone
(440) 354-1899
Fax
(440) 354-1845
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.12847-NP OH Primary

Addresses

Primary practice location

7580 Auburn Rd
#202
Painesville, OH 44077

Mailing address

7580 Auburn Rd
#202
Painesville, OH 44077
Phone (440) 354-1899

Other identifiers 1

IdentifierTypeStateIssuer
0093947MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000390 OH Practitioner - Nurse Practitioner 4082876784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.12847-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc CurrentSince Oct 31, 2013 Accepting new patients
Lake Hospital System Inc Current Accepting new patients
Lake Hospital System, Inc. CurrentSince Oct 31, 2013 Accepting new patients

Locations

7580 Auburn Rd
Ste 202
Concord Township, OH 44077
Phone (440) 352-0400

7956 Tyler Blvd
Mentor on Lk, OH 44060
Phone (440) 255-4455

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: czayicek28103@ehrdirect.uhhospitals.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1861769630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD",
            "address_2": "#202",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "44077",
            "telephone_number": "440-354-1899",
            "fax_number": "440-354-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 AUBURN RD",
            "address_2": "#202",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "44077",
            "telephone_number": "440-354-1899",
            "fax_number": "440-354-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYICEK",
        "first_name": "CHRISTINA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12847-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093947",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

Verify at the official NPI Registry.