Provider Demographics
NPI:1366934655
Name:ENGLISH, ZAKIYA D
Entity type:Individual
Prefix:MRS
First Name:ZAKIYA
Middle Name:D
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2643 BEAVER AVE # 171
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-3909
Mailing Address - Country:US
Mailing Address - Phone:515-401-9475
Mailing Address - Fax:
Practice Address - Street 1:2505 SW WHITE BIRCH DR
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-7214
Practice Address - Country:US
Practice Address - Phone:515-401-9475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker