Individual provider Active NPI

Corinne R Zimmerman, AU.D., F-AAA

  • Audiologist-Hearing Aid Fitter
  • Augusta, ME
National Provider Identifier
1235203175
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AP758 Issued in ME
Practice address
89 Hospital St
Ste 3
Augusta, ME 04330-6651
Phone
(207) 622-5922
Fax
(207) 622-6052
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AP758 ME Primary

Addresses

Primary practice location

89 Hospital St
Ste 3
Augusta, ME 04330-6651

Mailing address

89 Hospital St
Ste 3
Augusta, ME 04330-6651
Phone (207) 622-5922

Other identifiers 3

IdentifierTypeStateIssuer
030877OtherMEBLUE CROSS
2238072OtherMEAETNA
319820099MedicaidME

Other names 1

  • Corinne R Chipman Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth PastSince Jan 1, 2015 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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1235203175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL ST",
            "address_2": "STE 3",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306651",
            "telephone_number": "207-622-5922",
            "fax_number": "207-622-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HOSPITAL ST",
            "address_2": "STE 3",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306651",
            "telephone_number": "207-622-5922",
            "fax_number": "207-622-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "CORINNE",
        "middle_name": "R",
        "credential": "AU.D., F-AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ME",
            "license": "AP758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "030877",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2238072",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319820099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "CHIPMAN",
            "middle_name": "R",
            "credential": "M.S., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.