Active NPI
Kids Care Pediatrics of NW FL Inc
- Pediatrics Physician
- Navarre, FL
National Provider Identifier
1528101557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0075074
- Legal business name
- KIDS CARE PEDIATRICS OF NW FL INC
- Practice address
- 7552 Navarre Pkwy Unit 18
Navarre, FL 32566-7308 - Phone
- (850) 936-4543
- Fax
- (850) 936-8543
- NPI assigned
- Feb 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer M Zimmerman, M.D.
- Title
- President
- Phone
- (850) 995-0169
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0075074 | FL | Primary |
Addresses
Primary practice location
7552 Navarre Pkwy Unit 18
Navarre, FL 32566-7308
Mailing address
4622 Summerdale Blvd
Pace, FL 32571
Phone (850) 995-0169
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32936 | Other | FL | BCBS OF FL |
| 59096036 | Other | FL | BCBS OF AL |
| 1250003 | Other | FL | UNITED HEALTH CARE |
| 7960252 | Other | FL | AETNA |
| H8285 | Other | FL | FIRST HEALTH NETWORK |
National Provider Directory
National Provider Directory- Tax ID family
- Kids Care Pediatrics of NW FL Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Pace, FL
- NPI 1912096033
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Pace, FL
- NPI 1134195613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528101557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 SUMMERDALE BLVD",
"city": "PACE",
"state": "FL",
"postal_code": "32571",
"telephone_number": "850-995-0169",
"fax_number": "850-995-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7552 NAVARRE PKWY UNIT 18",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325667308",
"telephone_number": "850-936-4543",
"fax_number": "850-936-8543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS CARE PEDIATRICS OF NW FL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "850-995-0169",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0075074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "32936",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "59096036",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1250003",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7960252",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH NETWORK",
"identifier": "H8285",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Navarre, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.