Individual provider Active NPI

Brittany Michelle Zimmer, AGACNP

  • Gerontology Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1023508041
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP09854 Issued in LA
Practice address
15790 Paul Vega Dr
Hammond, LA 70403-1436
Phone
(985) 345-2700
Fax
(985) 230-2072
NPI assigned
May 15, 2018
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP09854 LA
Gerontology Nurse Practitioner 363LG0600X AP09854 LA Primary

Addresses

Primary practice location

15790 Paul Vega Dr
Hammond, LA 70403-1436

Mailing address

71 Piper LN
Mandeville, LA 70448-3455

Other practice location 1

16014 Doctors Blvd
Hammond, LA 70403-1478
Phone (985) 340-7868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019002549 LA Practitioner - Nurse Practitioner 1759634835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians
Lallie Kemp Medical CtrGroup PAC ID 0345238903, 38 clinicians

Practice addresses (Care Compare)

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-3066

52579 Hwy 51 S
Independence, LA 70443-2231
Phone (985) 878-1349

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP09854LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince May 10, 2023 Accepting new patients
Wellness Institute of Nephrology, LLC (Win) Nephrology CurrentSince May 16, 2022 Accepting new patients
Lallie Kemp Medical Ctr Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince May 10, 2023 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Sep 1, 2019 Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Oct 1, 2019 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Sep 1, 2019 Accepting new patients
Lallie Kemp Medical Ctr Past Accepting new patients

Locations

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

200 W Esplanade Ave
Ste 305
Kenner, LA 70065
Phone (504) 464-8712

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1023508041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PIPER LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031436",
            "telephone_number": "985-345-2700",
            "fax_number": "985-230-2072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16014 Doctors Blvd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031478",
            "country_code": "US",
            "telephone_number": "985-340-7868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "BRITTANY",
        "middle_name": "MICHELLE",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP09854",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "AP09854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.