Individual provider Active NPI

Amy Lynn Zoll, C.N.M.

  • Advanced Practice Midwife
  • Hillsdale, MI
National Provider Identifier
1215088976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AZ190510 Issued in MI
Practice address
1711 S Hillsdale Rd
Hillsdale, MI 49242-8321
Phone
(517) 437-5390
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AZ190510 MI Primary

Addresses

Primary practice location

1711 S Hillsdale Rd
Hillsdale, MI 49242-8321

Mailing address

1711 S Hillsdale Rd
Hillsdale, MI 49242-8321
Phone (517) 437-5390

Other identifiers 1

IdentifierTypeStateIssuer
4459821MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140423002070 MI Practitioner - Certified Nurse Midwife (CNM) 3678706892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AZ190510MIMDAdvanced Practice Midwife

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215088976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S HILLSDALE RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492428321",
            "telephone_number": "517-437-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S HILLSDALE RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492428321",
            "telephone_number": "517-437-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "C.N.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "AZ190510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4459821",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.