NPIMap

Organization Active NPI

Ashley Zimdahl

  • Pediatric Skilled Nursing Facility
  • Campbellsport, WI
National Provider Identifier
1629302872
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
167706030 Issued in WI
Legal business name
ASHLEY ZIMDAHL
Practice address
N2364 Sunset Dr
Campbellsport, WI 53010-2038
Phone
(920) 602-6063
NPI assigned
Sep 21, 2009
Last updated
Sep 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Mrs. Ashley M Zimdahl, RNNPI 1043544208
Title
Registered Nurse
Phone
(920) 602-6063

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)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 167706030 WI Primary

Addresses

Primary practice location

N2364 Sunset Dr
Campbellsport, WI 53010-2038

Mailing address

N2364 Sunset Dr
Campbellsport, WI 53010-2038
Phone (920) 602-6063

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1629302872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2364 SUNSET DR",
            "city": "CAMPBELLSPORT",
            "state": "WI",
            "postal_code": "530102038",
            "telephone_number": "920-602-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2364 SUNSET DR",
            "city": "CAMPBELLSPORT",
            "state": "WI",
            "postal_code": "530102038",
            "telephone_number": "920-602-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY ZIMDAHL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "ZIMDAHL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "920-602-6063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "WI",
            "license": "167706030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbellsport, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.