Active NPI
Carol Anne Zimmerman, DC LAC
- Chiropractor
- Ocean View, HI
National Provider Identifier
1356544753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 524
- Practice address
- 525 Lotus Blossom Lane
Ocean View, HI 96737 - Phone
- (808) 929-9229
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 524 | HI | Primary |
| Acupuncturist | 171100000X | 344 | HI |
Addresses
Primary practice location
525 Lotus Blossom Lane
Ocean View, HI 96737
Mailing address
Pob 445
Naalehu, HI 96772
Phone (808) 929-9229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53629 | Other | HI | HMSA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 524 | HI | MD | Clinical Psychologist |
| 344 | HI | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1356544753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POB 445",
"city": "NAALEHU",
"state": "HI",
"postal_code": "96772",
"telephone_number": "808-929-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 LOTUS BLOSSOM LANE",
"city": "OCEAN VIEW",
"state": "HI",
"postal_code": "96737",
"telephone_number": "808-929-9229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "CAROL",
"middle_name": "ANNE",
"credential": "DC LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "524",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "344",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "53629",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocean View, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.