Individual provider Active NPI

Sally Zoerman, RN

  • Home Health Registered Nurse
  • Holland, MI
National Provider Identifier
1215279518
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
4704111842 Issued in MI
Practice address
529 E 16TH St
Holland, MI 49423-3993
Phone
(616) 355-0100
Fax
(616) 355-0617
NPI assigned
Mar 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4704111842 MI Primary

Addresses

Primary practice location

529 E 16TH St
Holland, MI 49423-3993

Mailing address

529 E 16TH St
Holland, MI 49423-3993
Phone (616) 355-0100

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704111842MIMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Medical Staffing, Inc. 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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1215279518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 E 16TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233993",
            "telephone_number": "616-355-0100",
            "fax_number": "616-355-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E 16TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233993",
            "telephone_number": "616-355-0100",
            "fax_number": "616-355-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOERMAN",
        "first_name": "SALLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704111842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.