Individual provider Active NPI

Zacery Kirk Weight, LPN

  • Licensed Vocational Nurse
  • El Paso, TX
National Provider Identifier
1871146860
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
337221 Issued in TX
Practice address
3620 Grand Bahamas Dr
El Paso, TX 79936-2170
Phone
(661) 373-9770
NPI assigned
Jul 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 337221 TX Primary

Addresses

Primary practice location

3620 Grand Bahamas Dr
El Paso, TX 79936-2170

Mailing address

3620 Grand Bahamas Dr
El Paso, TX 79936-2170
Phone (661) 373-9770

Other practice location 1

3620 Grand Bahamas Dr
El Paso, TX 79936-2170
Phone (661) 373-9770

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

State licenses

LicenseStateTypeSpecialty
337221TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1871146860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 GRAND BAHAMAS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362170",
            "telephone_number": "661-373-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 GRAND BAHAMAS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799362170",
            "telephone_number": "661-373-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Grand Bahamas Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799362170",
            "country_code": "US",
            "telephone_number": "661-373-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIGHT",
        "first_name": "ZACERY",
        "middle_name": "KIRK",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "337221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.