Deborah Kathryn Zongo, APRN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2705 Issued in MN

Practice address

4321 109TH Ave NE
Blaine, MN 55449-6794

Phone

(763) 726-9153

Fax

(833) 972-1581

NPI assigned

Aug 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Deborah Kathryn Jahnke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.zongo.1@31026.direct.athenahealth.com

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.

• Piic Clinical Services

  dba Campus Health Center

  • Primary Care Clinic/Center
  • Blaine, MN
  • NPI 1053044149
  NPD

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1871725333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 CLOUD DR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495408",
            "telephone_number": "651-325-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 109TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554496794",
            "telephone_number": "763-726-9153",
            "fax_number": "833-972-1581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Scimed Pl",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553111565",
            "country_code": "US",
            "telephone_number": "763-415-7681",
            "fax_number": "833-972-1580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZONGO",
        "first_name": "DEBORAH",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R160750-9",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "JAHNKE",
            "middle_name": "KATHRYN",
            "credential": "FNP- BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Zamora
• Zen Home Healthcare
• Alexandra Zickermann, MA, LPCC
• Jessie M Zins, RD
• Viliam M Zong Vang

• Family Nurse Practitioner in Blaine, MN
• Providers in Blaine, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.