Ann Elizabeth Zimmerman, LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00920 Issued in OR

Practice address

Middleway Medicine 312 Main Street
Talent, OR 97540

Phone

(541) 535-5082

NPI assigned

Feb 13, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Middleway Medicine

  • Acupuncturist
  • Talent, OR
  • NPI 1316473176
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669514642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975400960",
            "telephone_number": "541-535-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIDDLEWAY MEDICINE 312 MAIN STREET",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "97540",
            "telephone_number": "541-535-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "LAC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213176",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213174",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Wilcoxson, DPT
• Janet Cook Williams, P.T.
• Christopher J Winder, QMHA
• Susanna J. Wood, M.S.W., LCSW
• Jennifer Zimmerer
• Richard Clark Zimmerman, LAC.

• Acupuncturist in Talent, OR
• Providers in Talent, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.