Individual provider Active NPI

Susan R. Brown-Zimmerman, FNP

  • Family Nurse Practitioner
  • Peabody, MA
National Provider Identifier
1083873244
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209071 Issued in MA
Practice address
Zero Centenial Drive
Cab Health and Recovery
Peabody, MA 01960
Phone
(617) 247-1001
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209071 MA Primary

Addresses

Primary practice location

Zero Centenial Drive
Cab Health and Recovery
Peabody, MA 01960

Mailing address

11 Cass St
Melrose, MA 02176-3924
Phone (781) 979-9141

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

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1083873244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CASS ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763924",
            "telephone_number": "781-979-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ZERO CENTENIAL DRIVE",
            "address_2": "CAB HEALTH AND RECOVERY",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "617-247-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-ZIMMERMAN",
        "first_name": "SUSAN",
        "middle_name": "R.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "209071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.