Doctor profile · Federal record
Dr. Zachary Kietzman, NP-C
Primary Care Nurse Practitioner · Registered Nurse · Gerontology Nurse Practitioner · Registered Nurse · Gerontology Nurse Practitioner · Primary Care Nurse Practitioner · Farmington, CT
- NPI 1861012015
- 6 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3 Farm Glen Blvd
Farmington, CT 060301285
(803) 629-4134 - Mailing address
-
87B Olive St
New Haven, CT 065116913
Credentials & registration
- NPI registered
- April 2020 — 6 yrs on file
- Profile last updated
- August 20, 2023
- Specialty taxonomy
- 363LP2300X — NUCC code
- State licenses (3)
- Connecticut #12068 · Connecticut #209707 · Georgia #RN236642
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861012015. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$37
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| CARDIVA MEDICAL, INC. | 2 | $36.60 |
By nature of payment
Frequently asked questions
What is Dr. Zachary Kietzman's medical specialty?
Dr. Zachary Kietzman practices Primary Care Nurse Practitioner in Farmington, CT.
Where does Dr. Zachary Kietzman practice?
Dr. Zachary Kietzman practices at 3 Farm Glen Blvd, Farmington, CT 060301285. Office phone: 8036294134.
What is Dr. Zachary Kietzman's NPI?
Dr. Zachary Kietzman's National Provider Identifier (NPI) is 1861012015, issued by NPPES.