Elaine Joy Zimmerman, RNCDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

4704133135 Issued in MI

Practice address

317 S Elm St Ste 202
Owosso, MI 48867-2649

Phone

(989) 729-4700

Fax

(989) 729-7762

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1104946870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S ELM ST STE 202",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672649",
            "telephone_number": "989-729-4700",
            "fax_number": "989-729-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S ELM ST STE 202",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672649",
            "telephone_number": "989-729-4700",
            "fax_number": "989-729-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ELAINE",
        "middle_name": "JOY",
        "credential": "RNCDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MI",
            "license": "4704133135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Yonts, BS
• Andrew Vincent Young, RPH.
• Youngworkz LLC
• John R. Zang-Bodis, D.D.S., M.D.S.
• Phillip James Zezulak, LPC, CAADC
• Kyle Robert Zimmerman, D.C.
• Diane Carol Zuckschwerdt, MA,CCC-A
• Stacy Zwolensky, LLMFT

• Diabetes Educator Registered Nurse in Owosso, MI
• Providers in Owosso, MI by specialty
• Diabetes Educator Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.