Individual provider Active NPI

Christina Teegarden Zimmerman, R.N.,M.S.,CPNP

  • Pediatric Nurse Practitioner
  • Pittsford, NY
National Provider Identifier
1104124494
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380788-1 Issued in NY
Practice address
2711 Clover St
Pittsford, NY 14534-1049
Phone
(585) 442-9271
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F380788-1 NY Primary

Addresses

Primary practice location

2711 Clover St
Pittsford, NY 14534-1049

Mailing address

PO Box 93128
Rochester, NY 14692-8128
Phone (585) 442-9271

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
Credentials
Certified Pediatric Nurse Practitioner, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F380788-1NYMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: christina.zimmerman@jh.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1104124494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93128",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146928128",
            "telephone_number": "585-442-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 CLOVER ST",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341049",
            "telephone_number": "585-442-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "CHRISTINA",
        "middle_name": "TEEGARDEN",
        "credential": "R.N.,M.S.,CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380788-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.