Tai Zimmerman Cole

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

10611 NW Sr 20
Bristol, FL 32424

Phone

(850) 643-1033

Fax

(850) 643-5066

NPI assigned

May 21, 2020

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2020.

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1205459583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 ALHAMBRA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323179586",
            "telephone_number": "850-666-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 NW SR 20",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "32424",
            "telephone_number": "850-643-1033",
            "fax_number": "850-643-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323036508",
            "country_code": "US",
            "telephone_number": "850-643-1033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "TAI",
        "middle_name": "ZIMMERMAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bristol, FL
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.