Individual provider Active NPI

Janet Marie Zimmerman, RN, MS, CPNP

  • Student Health Clinic/Center
  • Madison, WI
National Provider Identifier
1548480460
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
63045-030 Issued in WI
Practice address
1000 Edgewood College Dr
Madison, WI 53711-1997
Phone
(608) 663-8334
NPI assigned
Apr 26, 2007
Last updated
Nov 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 63045-030 WI Primary
Pediatric Nurse Practitioner 363LP0200X 638-033 WI

Addresses

Primary practice location

1000 Edgewood College Dr
Madison, WI 53711-1997

Mailing address

521 Clifden Dr
Madison, WI 53711-1530
Phone (608) 233-5997

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
Certified Pediatric Nurse Practitioner, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
63045-030WIMDStudent Health Clinic/Center
638-033WIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood College Health Services Student Health 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, 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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1548480460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 CLIFDEN DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111530",
            "telephone_number": "608-233-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDGEWOOD COLLEGE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111997",
            "telephone_number": "608-663-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "credential": "RN, MS, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "WI",
            "license": "63045-030",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "638-033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.