Katie Crain Zimmerman, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024168384 Issued in VA

Practice address

3301 Woodburn Rd Ste 107
Annandale, VA 22003-1297

Phone

(703) 876-0437

Fax

(703) 876-0722

NPI assigned

Dec 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Digestive Care, LLC

  • Clinical Pathology/Laboratory Medicine Physician
  • Annandale, VA
  • NPI 1629462171

  DC

  Medicare reassignment NPD
• Alexandria Gastroenterology Associates Inc

  • Gastroenterology Physician
  • Alexandria, LA
  • NPI 1417930447
  NPD (past)
• John S. McCabe, M.D., Apc

  • Plastic Surgery Physician
  • Alexandria, LA
  • NPI 1568795292
  NPD (past)

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639154099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD STE 107",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD STE 107",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031297",
            "telephone_number": "703-876-0437",
            "fax_number": "703-876-0722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Medical Center Dr",
            "address_2": "Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713018124",
            "country_code": "US",
            "telephone_number": "703-876-0437",
            "fax_number": "703-876-0722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KATIE",
        "middle_name": "CRAIN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "03643",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024168384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1431567",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Zetkulic, DPT
• Mercedes Zettlemoyer, M.S., CCC-SLP, TSSLD
• Peggy Zheng, MSN, APRN, FNP-BC
• Chad J Zik, M.D.
• Jerrold Lee Zimmerman, MSW
• Zion Medical Clinic LLC
• Zion Medical LLC
• Michelle Zolghadr, M.D.
• Jeanette Zug, OTL
• Rosalie Zuniga

• Family Nurse Practitioner in Annandale, VA
• Providers in Annandale, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.