Stacy Zimmerman, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

1-110696 Issued in AL

Practice address

Fox Army Health Center
4100 Goss Rd
Redstone Arsenal, AL 35809-7000

Phone

(256) 955-8888

Fax

(256) 876-3333

NPI assigned

Feb 23, 2024

Last updated

Feb 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1023874443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FOX ARMY HEALTH CENTER",
            "address_2": "4100 GOSS RD",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-955-8888",
            "fax_number": "256-876-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FOX ARMY HEALTH CENTER",
            "address_2": "4100 GOSS RD",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-955-8888",
            "fax_number": "256-876-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "STACY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AL",
            "license": "1-110696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otha Lee Solomon Jr., DDS
• Jo-Ann Anita Taalib, BCD,LCSW, MAC
• Minnetta Williams, CRNP
• Caleb Michael Winn, DO
• Joe Dee Wright, PHARMACIST

• Case Management Registered Nurse in Redstone Arsenal, AL
• Providers in Redstone Arsenal, AL by specialty
• Case Management Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.