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ZACHARY RENZETTI SUDP/T
NPI 1588308332
Student in an Organized Health Care Education/Training Program in Renton, WA

Active since April 26, 2022
1412 SW 43RD ST STE 140, RENTON, WA 98057(425) 264-0750 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2022, Apr 26, 2022 (2 updates tracked since 2022).

About Zachary Renzetti Sudp/t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY RENZETTI SUDP/T (NPI 1588308332) is an individual student in an organized health care education/training program in Renton, Washington, licensed in Washington (61076346) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1588308332
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameZACHARY RENZETTICredential: SUDP/T
Location Address1412 SW 43RD ST STE 140Renton, WA 98057-4803
Mailing Address10034 Se 224th StKent, WA 98031-3210 · (425) 891-8667
Phone(425) 264-0750
Sole ProprietorNo
Enumeration DateApril 26, 2022
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1588308332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WA · 61076346
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 61076346 (WA)
1412 SW 43RD ST STE 140, Renton, WA 98057
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLINE B REESE RN
Registered Nurse
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
FRANCISCO BARRERA PA-C
Physician Assistant
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
ELIZABETH BLAIR NEWMAN SUDPT
Student in an Organized Health Care Education/Training Program
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
LAVELLE HORNE
Case Manager/Care Coordinator
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
TSZ WING CHAN
Technician
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
BARRY WILLIS
Counselor (Addiction (Substance Use Disorder))
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
MARY ANN LACOURSIERE SUDP
Counselor (Addiction (Substance Use Disorder))
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750
SIERRA LYNN EZRRE
Case Manager/Care Coordinator
1412 SW 43RD ST STE 140
RENTON, WA 98057
King County (425) 264-0750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Renzetti's NPI number?

The NPI number for Zachary Renzetti is 1588308332. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Zachary Renzetti located?

Zachary Renzetti practices at 1412 SW 43rd St Ste 140, Renton, WA 98057. The listed phone number is (425) 264-0750.

What is Zachary Renzetti's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Zachary Renzetti was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.