Active NPI
Julie A Zaiser, NP
- Nurse Practitioner
- Belvidere, IL
National Provider Identifier
1972580660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 2170 Pearl St
University Primary Care Clinic @ Belvidere
Belvidere, IL 61008-6020 - Phone
- (815) 547-5461
- Fax
- (815) 395-5644
- NPI assigned
- Dec 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | IL | Primary |
Addresses
Primary practice location
2170 Pearl St
University Primary Care Clinic @ Belvidere
Belvidere, IL 61008-6020
Mailing address
1601 Parkview Ave
Credentialing S200
Rockford, IL 61107-1822
Phone (815) 395-5851
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209001532 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | 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.
-
- Pediatrics Physician
- Rockford, IL
- NPI 1972541902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1972580660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 PARKVIEW AVE",
"address_2": "CREDENTIALING S200",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611071822",
"telephone_number": "815-395-5851",
"fax_number": "815-395-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 PEARL ST",
"address_2": "UNIVERSITY PRIMARY CARE CLINIC @ BELVIDERE",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610086020",
"telephone_number": "815-547-5461",
"fax_number": "815-395-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAISER",
"first_name": "JULIE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.