Active NPI
Imelda Zepeda
- Case Manager/Care Coordinator
- Kissimmee, FL
National Provider Identifier
1336850627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CBHCM104171
- Practice address
- 3501 West Vine St #273
Kissimmee, FL 24741 - Phone
- (810) 627-4920
- NPI assigned
- Dec 8, 2022
- Last updated
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CBHCM104171 | FL | Primary |
Addresses
Primary practice location
3501 West Vine St #273
Kissimmee, FL 24741
Mailing address
3500 Posner Blvd # 1030
Davenport, FL 33837-3640
Phone (810) 627-4920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N.A | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | IZcasemanaging@gmail.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCM104171 | FL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1336850627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 POSNER BLVD # 1030",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338373640",
"telephone_number": "810-627-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 WEST VINE ST #273",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "24741",
"telephone_number": "810-627-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEPEDA",
"first_name": "IMELDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCM104171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "N.A",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "IZcasemanaging@gmail.com",
"affiliation": "N",
"endpointDescription": "Email used for business use only.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "PHI, HIPPA information, business use only",
"address_1": "3500 Posner Blvd # 1030",
"city": "Davenport",
"state": "FL",
"country_code": "US",
"postal_code": "338373640",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.