Active NPI
Amana Family Practice Clinic, PC
- Family Medicine Physician
- Amana, IA
National Provider Identifier
1073677019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- AMANA FAMILY PRACTICE CLINIC, PC
- Practice address
- 505 39TH Ave
Amana, IA 52203-8229 - Phone
- (319) 622-3231
- Fax
- (319) 622-3077
- NPI assigned
- Dec 21, 2006
- Last updated
- Nov 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica L Zimmerman
- Title
- Office Manager
- Phone
- (319) 622-3231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
505 39TH Ave
Amana, IA 52203-8229
Mailing address
505 39TH Ave
PO Box 207
Amana, IA 52203-8229
Phone (319) 622-3231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CJ8590 | Other | IA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0386379 | Amana Family Practice Clinic PC | Provider-performed microscopy | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Amana, IA
- NPI 1891763389
-
- Family Medicine Physician
- Amana, IA
- NPI 1598873523
-
- Physician Assistant
- Amana, IA
- NPI 1265898522
-
- Medical Physician Assistant
- Amana, IA
- NPI 1568203990
-
- Registered Dietitian
- Iowa City, IA
- NPI 1083601744
-
- Clinical Social Worker
- Amana, IA
- NPI 1750529988
-
- Chiropractor
- Tiffin, IA
- NPI 1396102877
-
- Medical Physician Assistant
- Marengo, IA
- NPI 1275530370
-
- Nurse Practitioner
- Iowa City, IA
- NPI 1558020289
-
- Surgical Physician Assistant
- Cedar Rapids, IA
- NPI 1700884418
-
- Mental Health Counselor
- Amana, IA
- NPI 1598076234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1073677019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 39TH AVE",
"address_2": "PO BOX 207",
"city": "AMANA",
"state": "IA",
"postal_code": "522038229",
"telephone_number": "319-622-3231",
"fax_number": "319-622-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 39TH AVE",
"city": "AMANA",
"state": "IA",
"postal_code": "522038229",
"telephone_number": "319-622-3231",
"fax_number": "319-622-3077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMANA FAMILY PRACTICE CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "319-622-3231"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CJ8590",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amana, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.