Individual provider Active NPI

Dyna Fay Zehnder, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1992366199
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012864 Issued in KY
Practice address
842 S 7TH St
Louisville, KY 40203-2149
Phone
(502) 584-2473
Fax
(502) 583-4302
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012864 KY Primary

Addresses

Primary practice location

842 S 7TH St
Louisville, KY 40203-2149

Mailing address

842 S 7TH St
Louisville, KY 40203-2149
Phone (502) 584-2473

Other names 1

  • Dyna Fay Zehnder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20221012001696 KY Practitioner - Nurse Practitioner 8426424789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

3015 Wilson Ave
Louisville, KY 40211-1969
Phone 50277444011509

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

500 W Broadway St
Eminence, KY 40019-1201
Phone (502) 774-4401

501 Taylorsville Rd
Taylorsville, KY 40071-6766
Phone (502) 477-2248

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Park Duvalle Community Health Center, Inc. Current Accepting new patients
Park Duvalle Community Health Center, Inc. CurrentSince Jun 12, 2023 Accepting new patients
Park Duvalle Community Health Center, Inc CurrentSince Jun 12, 2023 Accepting new patients

Locations

3015 Wilson Ave
Louisville, KY 40211
Phone (502) 774-4401

Interoperability endpoints

  • Direct secure messaging: dyna.zehnder.1@27238.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1992366199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 S 7TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032149",
            "telephone_number": "502-584-2473",
            "fax_number": "502-583-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 S 7TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032149",
            "telephone_number": "502-584-2473",
            "fax_number": "502-583-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHNDER",
        "first_name": "DYNA",
        "middle_name": "FAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DYNA",
            "last_name": "ZEHNDER",
            "middle_name": "FAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.