Individual provider Active NPI

Cheryl Ann Zimlich, PMHNP

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Battle Creek, MI
National Provider Identifier
1508103920
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
4704213930 Issued in MI
Practice address
5500 Armstrong Road (11C)
VA Medical Center
Battle Creek, MI 49037
Phone
(616) 406-6310
Fax
(269) 223-6907
NPI assigned
Jan 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 4704213930 MI Primary

Addresses

Primary practice location

5500 Armstrong Road (11C)
VA Medical Center
Battle Creek, MI 49037

Mailing address

1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607
Phone (616) 957-2549

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
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1508103920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 MEDICAL PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463607",
            "telephone_number": "616-957-2549",
            "fax_number": "616-464-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 ARMSTRONG ROAD (11C)",
            "address_2": "VA MEDICAL CENTER",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49037",
            "telephone_number": "616-406-6310",
            "fax_number": "269-223-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMLICH",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704213930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.