Diana Zimmerman, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101003373 Issued in MI

Practice address

5988 E 52ND St
Newaygo, MI 49337-8335

Phone

(231) 245-3942

NPI assigned

Oct 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1568283646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5988 E 52ND ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378335",
            "telephone_number": "231-245-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5988 E 52ND ST",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378335",
            "telephone_number": "231-245-3942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Emily Ln",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435304",
            "country_code": "US",
            "telephone_number": "231-245-3942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "DIANA",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101003373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Jo Wheeland, LMSW
• Kathy R White, PT
• Leah Wigent
• Patricia Wyn
• Tracy Zervos, P.T.

• Speech-Language Pathologist in Newaygo, MI
• Providers in Newaygo, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.