KELLY M ZAKAR APRN NPI 1689642076

NPI Information

NPI: 1689642076
Provider Name: KELLY M ZAKAR, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
Phone: (603) 620-0284
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Kelly M Zakar, APRN is a pediatrics nurse practitioner in Boston, MA. Kelly M Zakar, APRN NPI is 1689642076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 LONGWOOD AVE
BOSTON, MA
ZIP 02115-724
Phone: (603) 620-0284

The enumeration date for this NPI number is 3/10/2006 and was last updated on 12/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	RN216232	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	020518021	OTHER	NEW HAMPSHIRE	ONE HEALTH/GREAT WEST
2	020518021	OTHER	NEW HAMPSHIRE	CIGNA
3	020518021	OTHER	NEW HAMPSHIRE	UNITED HEALTHCARE
4	23YP05288NH01	OTHER	NEW HAMPSHIRE	BLUE CROSS & BLUE SHIELD
5	AA3765	OTHER	NEW HAMPSHIRE	HARVARD PILGRIM
6	2375234	OTHER	NEW HAMPSHIRE	AETNA - HMO
7	30342638	MEDICAID	NEW HAMPSHIRE
8	4570918	OTHER	NEW HAMPSHIRE	AETNA - NON HMO
9	020518021	OTHER	NEW HAMPSHIRE	HCVM
10	30914	OTHER	NEW HAMPSHIRE	HEALTHSOURCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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