Individual provider Active NPI

Tiairani Zapata

  • Medical-Surgical Registered Nurse
  • Middletown, CT
National Provider Identifier
1871362160
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
182745 Issued in CT
Practice address
597 Preston Ave
Middletown, CT 06457-2397
Phone
(203) 804-6205
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 182745 CT
Medical-Surgical Registered Nurse 163WM0705X 182745 CT Primary

Addresses

Primary practice location

597 Preston Ave
Middletown, CT 06457-2397

Mailing address

597 Preston Ave
Middletown, CT 06457-2397

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
182745CTMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1871362160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 PRESTON AVE",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 PRESTON AVE",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572397",
            "telephone_number": "203-804-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPATA",
        "first_name": "TIAIRANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CT",
            "license": "182745",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CT",
            "license": "182745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.