Renee Zimmerman, APN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

662078 Issued in TX

Practice address

302 N 3Rd St
Ballinger, TX 76821-5034

Phone

(325) 365-5737

Fax

(325) 365-2405

NPI assigned

Sep 13, 2006

Last updated

Oct 26, 2012By the provider in NPPES

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

Other identifiers 1

Other names 1

• Renee Gamble Other name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: renee.zimmerman.p6@direct.chdi.nextgenshare.com

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

• Frontera Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Mason, TX
  • NPI 1235381088
  Medicare reassignment NPD
• Frontera Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Fredericksburg, TX
  • NPI 1992396949
  NPD

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1184728602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 889 119 S. ELLIS",
            "address_2": "FRONTERA HEALTHCARE NETWORK, INC. MENARD CLINIC",
            "city": "MENARD",
            "state": "TX",
            "postal_code": "768590889",
            "telephone_number": "325-396-4612",
            "fax_number": "325-396-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N 3RD ST",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768215034",
            "telephone_number": "325-365-5737",
            "fax_number": "325-365-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "RENEE",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "662078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "662078",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "GAMBLE",
            "credential": "APN-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lorinda Renee Torres, RN
• Val Verde County Hospital District (Central Texas Nursing & Rehabilitation)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-1078)
• West Wharton County Hospital District (Central Texas Nursing & Rehabilitation)
• Blair Thomas Williams, PT

• Family Nurse Practitioner in Ballinger, TX
• Providers in Ballinger, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.