NPIMap

Individual provider Active NPI

Izabela Dzimira, FNP-C

  • Family Nurse Practitioner
  • Trexlertown, PA
National Provider Identifier
1679235063
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024529 Issued in PA
Practice address
7150 Hamilton Blvd Unit 400
Trexlertown, PA 18087-9734
Phone
(610) 351-1555
NPI assigned
Oct 12, 2021
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024529 PA Primary

Addresses

Primary practice location

7150 Hamilton Blvd Unit 400
Trexlertown, PA 18087-9734

Mailing address

16 E Martin St
Allentown, PA 18103-5830

Other practice location 1

8040 W Broad St
Richmond, VA 23294-4218
Phone (804) 346-0927

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address corporateceo@sovereignurgentcare.com Sovereign Urgent Care Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA, DC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230228000631 PA Practitioner - Nurse Practitioner 4688047368 Reassigns benefits to 3 organizations
I20240805004196 VA Practitioner - Nurse Practitioner 4688047368 Reassigns benefits to 3 organizations
I20260120000964 DC Practitioner - Nurse Practitioner 4688047368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roanoke Valley Healthcare Partners LLCGroup PAC ID 0143490326, 53 clinicians

Practice addresses (Care Compare)

12731 Stone Village Way
Midlothian, VA 23113-2722
Phone (804) 379-1500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schuylkill Health System Medical Group, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Healing Partners Plus PLLC CurrentSince Jan 21, 2026 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jun 1, 2024 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jun 1, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 15, 2023 Accepting new patients
Family Care Centers Inc CurrentSince Sep 11, 2023 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Short Pump Family Care, LLC CurrentSince Jan 13, 2025 Accepting new patients
Consonant Healing Medical Associates CurrentSince Jan 5, 2026 Accepting new patients
Schuylkill Health System Medical Group, Inc. Family Current Accepting new patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Jan 13, 2025 Accepting new patients
Family Care Centers Inc. CurrentSince Sep 11, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince May 15, 2023 Accepting new patients
Medexpress Urgent Care, PC - Virginia Past Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients

Locations

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

1791 Airport Rd
Allentown, PA 18109
Phone (484) 240-8195

120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

100 Community Dr
Tobyhanna, PA 18466
Phone (570) 424-2100

12731 Stone Village Way
Midlothian, VA 23113
Phone (804) 379-1500

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

8040 W Broad St
Richmond, VA 23294
Phone (804) 346-0927

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1679235063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E MARTIN ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 HAMILTON BLVD UNIT 400",
            "city": "TREXLERTOWN",
            "state": "PA",
            "postal_code": "180879734",
            "telephone_number": "610-351-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232944218",
            "country_code": "US",
            "telephone_number": "804-346-0927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZIMIRA",
        "first_name": "IZABELA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "corporateceo@sovereignurgentcare.com",
            "affiliation": "Y",
            "affiliationName": "Sovereign Urgent Care Inc",
            "address_1": "7150 Hamilton Blvd Unit 400",
            "city": "Trexlertown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180879734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trexlertown, PA

Sources for this page

Verify at the official NPI Registry.