Active NPI
Samantha Kylie Zimmer, DNP, CNM, WHNP
- Midwife
- Layton, UT
National Provider Identifier
1114225802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 10441485-4402
- Practice address
- 1289 E 1325 N
Layton, UT 84040-2809 - Phone
- (801) 512-9326
- NPI assigned
- Mar 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 10441485-4402 | UT | Primary |
Addresses
Primary practice location
1289 E 1325 N
Layton, UT 84040-2809
Mailing address
1289 E 1325 N
Layton, UT 84040-2809
Phone (801) 512-9326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121
4700 Lady Moon Dr
Fort Collins, CO 80528-4426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10441485-4402 | UT | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Current | Accepting new patients | |
| Banner Health Physicians Colorado LLC | Past | Accepting new patients |
Locations
4700 Lady Moon Dr
Ste C1
Fort Collins, CO 80528
Phone (970) 821-4500
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Greeley, CO
- NPI 1073899134
-
- Multi-Specialty Clinic/Center
- Torrington, WY
- NPI 1215375688
-
- Multi-Specialty Clinic/Center
- Windsor, CO
- NPI 1831476381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1114225802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1289 E 1325 N",
"city": "LAYTON",
"state": "UT",
"postal_code": "840402809",
"telephone_number": "801-512-9326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1289 E 1325 N",
"city": "LAYTON",
"state": "UT",
"postal_code": "840402809",
"telephone_number": "801-512-9326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "SAMANTHA",
"middle_name": "KYLIE",
"name_prefix": "Dr.",
"credential": "DNP, CNM, WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "UT",
"license": "10441485-4402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.