Active NPI
Katelyn Lea Zimmerman
- Occupational Therapist
- Honolulu, HI
National Provider Identifier
1548841968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1928
- Practice address
- 1401 S Beretania St Ste 900
Honolulu, HI 96814-1875 - Phone
- (808) 593-2830
- NPI assigned
- Apr 16, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1928 | HI | Primary |
Addresses
Primary practice location
1401 S Beretania St Ste 900
Honolulu, HI 96814-1875
Mailing address
269 N Kalaheo Ave # a
Kailua, HI 96734-2319
Phone (808) 386-4097
Other practice location 1
705 Country Club Cir
Wamego, KS 66547-1146
Phone (785) 313-1292
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1928 | HI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1548841968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 N KALAHEO AVE # A",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342319",
"telephone_number": "808-386-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S BERETANIA ST STE 900",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141875",
"telephone_number": "808-593-2830"
}
],
"practiceLocations": [
{
"address_1": "705 Country Club Cir",
"address_purpose": "LOCATION",
"city": "Wamego",
"state": "KS",
"postal_code": "665471146",
"country_code": "US",
"telephone_number": "785-313-1292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "KATELYN",
"middle_name": "LEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-16",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "HI",
"license": "1928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.