Active NPI
Lisa Zimmerman
- Critical Care Pharmacist
- East Lansing, MI
National Provider Identifier
1083956643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- 5302035405
- Practice address
- 2453 Pine Hollow Dr
East Lansing, MI 48823-9742 - Phone
- (586) 943-5994
- NPI assigned
- Mar 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 12103 | AL | |
| Critical Care Pharmacist | 1835C0205X | 5302035405 | MI | Primary |
Addresses
Primary practice location
2453 Pine Hollow Dr
East Lansing, MI 48823-9742
Mailing address
2453 Pine Hollow Dr
East Lansing, MI 48823-9742
Phone (586) 943-5994
Other names 1
- Lisa Hall
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5302035405 | MI | MD | Critical Care Pharmacist |
| 12103 | AL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1083956643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2453 PINE HOLLOW DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488239742",
"telephone_number": "586-943-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2453 PINE HOLLOW DR",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488239742",
"telephone_number": "586-943-5994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AL",
"license": "12103",
"primary": false
},
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "MI",
"license": "5302035405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "HALL",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.