Provider Demographics
NPI:1952589103
Name:BELENDEZ, ZAIDA R (ND, RN)
Entity type:Individual
Prefix:
First Name:ZAIDA
Middle Name:R
Last Name:BELENDEZ
Suffix:
Gender:F
Credentials:ND, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 N UPPER ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-1450
Mailing Address - Country:US
Mailing Address - Phone:859-552-6868
Mailing Address - Fax:
Practice Address - Street 1:436 W 2ND ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1040
Practice Address - Country:US
Practice Address - Phone:859-231-7137
Practice Address - Fax:859-253-0095
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1051119163W00000X, 163WC1500X, 163WD0400X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health