Active NPI
Kimberly Lyn Zeren, CRNP- FAMILY
- Family Nurse Practitioner
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R111875
- Practice address
- 45 Thomas Johnson Dr
Suite 109
Frederick, MD 21702-4425 - Phone
- (301) 696-1011
- Fax
- (301) 696-1520
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R111875 | MD | Primary |
Addresses
Primary practice location
45 Thomas Johnson Dr
Suite 109
Frederick, MD 21702-4425
Mailing address
3100 Wyman Park Dr
Baltimore, MD 21211-2803
Phone (410) 338-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R111875 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
3100 Wyman Park Dr
Baltimore, MD 21211
Phone (410) 338-3000
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
45 Thomas Johnson Dr
Fl 1
Frederick, MD 21702
Phone (301) 969-1000
45 Thomas Johnson Dr
Ste 109
Frederick, MD 21702
Phone (301) 696-1000
14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254
9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412
4224 Altamont PL Ste 201
Ste 201
White Plains, MD 20695
Phone (240) 607-1500
Interoperability endpoints
- kzeren4599@direct.hopkinsmedicine.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359972
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1003813072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WYMAN PARK DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112803",
"telephone_number": "410-338-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 THOMAS JOHNSON DR",
"address_2": "SUITE 109",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024425",
"telephone_number": "301-696-1011",
"fax_number": "301-696-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEREN",
"first_name": "KIMBERLY",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "CRNP- FAMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R111875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.