Active NPI
Bonnie Zimmer
- Speech-Language Pathologist
- Concord, NH
National Provider Identifier
1417324674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 26998
- Practice address
- 239 Pleasant St
Concord, NH 03301-7504 - Phone
- (603) 244-6561
- NPI assigned
- Aug 24, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15539 | FL | |
| Speech-Language Pathologist | 235Z00000X | 26998 | CA | Primary |
Addresses
Primary practice location
239 Pleasant St
Concord, NH 03301-7504
Mailing address
239 Pleasant St
Concord, NH 03301-7504
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 |
|---|---|---|---|
| 26998 | CA | MD | Occupational Therapist |
| 15539 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1417324674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017504",
"telephone_number": "603-244-6561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "BONNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "15539",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "26998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.