Active NPI
Jan D Zieren, DO
- Family Medicine Physician
- New Tazewell, TN
National Provider Identifier
1962530436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2378
- Practice address
- 424 N Broad St
New Tazewell, TN 37825-6606 - Phone
- (423) 869-7193
- Fax
- (423) 869-7195
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2378 | TN | Primary |
| Family Medicine Physician | 207Q00000X | AZ1777 | AZ |
Addresses
Primary practice location
424 N Broad St
New Tazewell, TN 37825-6606
Mailing address
PO Box 367
Harrogate, TN 37752-0367
Phone (423) 869-7193
Other practice location 1
165 Westmoreland St
Harrogate, TN 37752-8202
Phone (423) 869-7193
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528693 | Medicaid | TN | |
| 4330737 | Other | TN | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ1777 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1962530436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367",
"city": "HARROGATE",
"state": "TN",
"postal_code": "377520367",
"telephone_number": "423-869-7193",
"fax_number": "423-869-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 N BROAD ST",
"city": "NEW TAZEWELL",
"state": "TN",
"postal_code": "378256606",
"telephone_number": "423-869-7193",
"fax_number": "423-869-7195"
}
],
"practiceLocations": [
{
"address_1": "165 Westmoreland St",
"address_purpose": "LOCATION",
"city": "Harrogate",
"state": "TN",
"postal_code": "377528202",
"country_code": "US",
"telephone_number": "423-869-7193",
"fax_number": "423-869-7195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIEREN",
"first_name": "JAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "2378",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "AZ1777",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528693",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4330737",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.