Organization Active NPI

Joan C Zimmer, Arnp, P.S.

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1225027063
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30003920 Issued in WA
Legal business name
JOAN C ZIMMER, ARNP, P.S.
Practice address
9103 N Division St
Spokane, WA 99218-1251
Phone
(509) 467-6060
Fax
(509) 467-6518
NPI assigned
Oct 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Joan C Zimmer, ARNPNPI 1437343746
Title
Arnp
Phone
(509) 467-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP30003920 WA Primary

Addresses

Primary practice location

9103 N Division St
Spokane, WA 99218-1251

Mailing address

9103 N Division St
Spokane, WA 99218-1251
Phone (509) 467-6060

Other identifiers 1

IdentifierTypeStateIssuer
9617648MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326001119 WA Part B Supplier - Clinic/Group Practice 6305738063 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1225027063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181251",
            "telephone_number": "509-467-6060",
            "fax_number": "509-467-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181251",
            "telephone_number": "509-467-6060",
            "fax_number": "509-467-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN C ZIMMER, ARNP, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "509-467-6060",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30003920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9617648",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.