Individual provider Active NPI

Jessica Lynne Zimmerman, MSN, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Elizabeth City, NC
National Provider Identifier
1023893856
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236481 Issued in CA
Practice address
905 Thunder Rd Ste 240
Elizabeth City, NC 27909-7724
Phone
(252) 334-0555
NPI assigned
Aug 29, 2023
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95032829 CA
Advanced Practice Midwife 367A00000X 236481 CA Primary

Addresses

Primary practice location

905 Thunder Rd Ste 240
Elizabeth City, NC 27909-7724

Mailing address

PO Box 2640
Citrus Heights, CA 95611-2640
Phone (702) 606-4225

Other practice location 1

3902 Delmar Ave
Loomis, CA 95650-9055
Phone (702) 606-4225

Other names 1

  • Jessica Harakidas Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250519003343 CA Order and Referring Only - Certified Nurse Midwife (CNM) 3476071838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95032829CAMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jessica.zimmerman@wsmc1.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1023893856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2640",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956112640",
            "telephone_number": "702-606-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 THUNDER RD STE 240",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097724",
            "telephone_number": "252-334-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3902 Delmar Ave",
            "address_purpose": "LOCATION",
            "city": "Loomis",
            "state": "CA",
            "postal_code": "956509055",
            "country_code": "US",
            "telephone_number": "702-606-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "MSN, CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95032829",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HARAKIDAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.