Individual provider Active NPI

Joan C Zimmer, ARNP

  • Primary Care Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1437343746
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP30003920 Issued in WA
Practice address
9103 N Division St
Spokane, WA 99218-1251
Phone
(509) 467-6060
Fax
(509) 467-6518
NPI assigned
Aug 29, 2007
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000454 WA Practitioner - Nurse Practitioner 1759273410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9103 N Division St
Spokane, WA 99218-1275
Phone 5094676060216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3920WAMDMedical Art Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Joan C Zimmer, Arnp, P.S. CurrentSince Aug 1, 2002 Accepting new patients
Rhonna Lee Arnp, PS Primary Care Current Accepting new patients
Universal Ultrasound Diagnostic & Vein Treatment Center Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1437343746",
    "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": {
        "last_name": "ZIMMER",
        "first_name": "JOAN",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "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

Verify at the official NPI Registry.