Active NPI
Suzanne Marie Zumwalt, CERTIFIED FCT
- Peer Specialist
- Palm Desert, CA
National Provider Identifier
1184214348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- EDRLZNSVJIBWPFADM
- Practice address
- 73255 El Paseo Ste 11
Palm Desert, CA 92260-4249 - Phone
- (442) 666-3217
- Fax
- (760) 616-7035
- NPI assigned
- Jan 21, 2021
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | EDRLZNSVJIBWPFADM | CA | Primary |
Addresses
Primary practice location
73255 El Paseo Ste 11
Palm Desert, CA 92260-4249
Mailing address
79016 Bayside CT
Bermuda Dunes, CA 92203-1528
Phone (442) 666-3217
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 |
|---|---|---|---|
| EDRLZNSVJIBWPFADM | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1184214348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79016 BAYSIDE CT",
"city": "BERMUDA DUNES",
"state": "CA",
"postal_code": "922031528",
"telephone_number": "442-666-3217",
"fax_number": "760-616-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73255 EL PASEO STE 11",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604249",
"telephone_number": "442-666-3217",
"fax_number": "760-616-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUMWALT",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"credential": "CERTIFIED FCT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "EDRLZNSVJIBWPFADM",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.