Active NPI
Capri Danille Zimmerman, MA CCC-SLP
- Speech-Language Pathologist
- Wichita, KS
National Provider Identifier
1497050504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1491
- Practice address
- 4921 E 21St Street N
Wichita, KS 67208 - Phone
- (316) 681-3204
- Fax
- (316) 681-0541
- NPI assigned
- Jan 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1491 | KS | Primary |
Addresses
Primary practice location
4921 E 21St Street N
Wichita, KS 67208
Mailing address
4921 E 21St Street N.
Wichita, KS 67208
Phone (316) 681-3204
Other names 1
- Capri Zimmerman-Frazier
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1491 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin Is Hope Foundation Inc | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Wichita, KS
- NPI 1780638999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366329600000",
"number": "1497050504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 E 21ST STREET N.",
"city": "WICHITA",
"state": "KS",
"postal_code": "67208",
"telephone_number": "316-681-3204",
"fax_number": "316-681-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 E 21ST STREET N",
"city": "WICHITA",
"state": "KS",
"postal_code": "67208",
"telephone_number": "316-681-3204",
"fax_number": "316-681-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "CAPRI",
"middle_name": "DANILLE",
"name_prefix": "Ms.",
"credential": "MA CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2013-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "1491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAPRI",
"last_name": "ZIMMERMAN-FRAZIER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.