Individual provider Active NPI

Nicole Rose Zimering, LMT

  • Mechanotherapist
  • Spokane Valley, WA
National Provider Identifier
1063290393
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
MA61374490 Issued in WA
Practice address
13303 E Mission Ave Apt 107
Spokane Valley, WA 99216-2790
Phone
(703) 475-8670
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X MA61374490 WA Primary

Addresses

Primary practice location

13303 E Mission Ave Apt 107
Spokane Valley, WA 99216-2790

Mailing address

13303 E Mission Ave Apt 107
Spokane Valley, WA 99216-2790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA61374490WAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1063290393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 E MISSION AVE APT 107",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 E MISSION AVE APT 107",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162790",
            "telephone_number": "703-475-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMERING",
        "first_name": "NICOLE",
        "middle_name": "ROSE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA61374490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.