Individual provider Active NPI

Katherine S Zieman, CRNP

  • Pediatric Clinical Nurse Specialist
  • Tuscaloosa, AL
National Provider Identifier
1154987345
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
1-145252 Issued in AL
Practice address
1060 Fairfax Park Ste C
Tuscaloosa, AL 35406-2837
Phone
(205) 752-7337
Fax
(205) 752-8013
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X 1-145252 AL Primary

Addresses

Primary practice location

1060 Fairfax Park Ste C
Tuscaloosa, AL 35406-2837

Mailing address

1060 Fairfax Park Ste C
Tuscaloosa, AL 35406-2837
Phone (205) 752-7337

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

LicenseStateTypeSpecialty
1-145252ALMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce a Petitt M.D. P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1154987345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 FAIRFAX PARK STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062837",
            "telephone_number": "205-752-7337",
            "fax_number": "205-752-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 FAIRFAX PARK STE C",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062837",
            "telephone_number": "205-752-7337",
            "fax_number": "205-752-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEMAN",
        "first_name": "KATHERINE",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "AL",
            "license": "1-145252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.