Kathy A Dalzell, C.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP06612 Issued in OH

Practice address

5319 Hoag Dr
Ste 100
Sheffield Village, OH 44035-1492

Phone

(440) 930-6040

Fax

(440) 930-6094

NPI assigned

Mar 23, 2006

Last updated

Oct 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kathy A Zartman Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Mercy Health Physicians Lorain Specialty Care LLC

  • Surgery Physician
  • Lorain, OH
  • NPI 1972126381

  Nurse Practitioner

  Medicare reassignment NPD
• Mercy Health Physicians Lorain, LLC

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1023347192

  Nurse Practitioner

  Medicare reassignment NPD
• Mercy Health Physicians Lorain Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Vermilion, OH
  • NPI 1255063145
  NPD
• Mercy Health Physicians, Lorain, LLC

  dba Mercy Health - Orthopedics and Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Oberlin, OH
  • NPI 1730724147
  NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1902866148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR",
            "address_2": "STE 100",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351492",
            "telephone_number": "440-324-0092",
            "fax_number": "440-324-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR",
            "address_2": "STE 100",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351492",
            "telephone_number": "440-930-6040",
            "fax_number": "440-930-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALZELL",
        "first_name": "KATHY",
        "middle_name": "A",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP06612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2291961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "ZARTMAN",
            "middle_name": "A",
            "credential": "C.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin P Craver-Dean, LPCC-S
• Jasmine Crump
• David Cuglewski
• Blake A Currens, PA-C
• Anita Dacanay
• Bryan T. Davis, P.A.
• Camille Rhnee Davis, RN
• Ernest Degidio, DO
• Caryn L Delisio, RN, CNP
• Melanie Ann Devito, CNP

• Adult Health Nurse Practitioner in Sheffield Village, OH
• Providers in Sheffield Village, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.