Individual provider Active NPI

Elizabeth Zeppernick

  • Behavior Analyst
  • Wilton, CT
National Provider Identifier
1912374422
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1106720 Issued in CT
Practice address
5 River Rd
Suite 142
Wilton, CT 06897-4069
Phone
(917) 434-7459
Fax
(888) 761-5161
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1106720 CT Primary

Addresses

Primary practice location

5 River Rd
Suite 142
Wilton, CT 06897-4069

Mailing address

5 River Rd
Suite 142
Wilton, CT 06897-4069
Phone (917) 434-7459

Other names 1

  • Elizabeth Zeppernick Professional name

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
1106720CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Able Home Health Care, LLC Past Accepting new patients

Organizations & group practices 1

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1912374422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RIVER RD",
            "address_2": "SUITE 142",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974069",
            "telephone_number": "917-434-7459",
            "fax_number": "888-761-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RIVER RD",
            "address_2": "SUITE 142",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974069",
            "telephone_number": "917-434-7459",
            "fax_number": "888-761-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPPERNICK",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1106720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ZEPPERNICK",
            "credential": "BCBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.