Individual provider Active NPI

M Esther Zimmerman, LMP

  • Specialist
  • East Wenatchee, WA
National Provider Identifier
1700081908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00012086 Issued in WA
Practice address
832 Valley Mall Pkwy
Suite a
East Wenatchee, WA 98802-4496
Phone
(509) 884-4100
Fax
(509) 884-4100
NPI assigned
Jun 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00012086 WA Primary

Addresses

Primary practice location

832 Valley Mall Pkwy
Suite a
East Wenatchee, WA 98802-4496

Mailing address

832 Valley Mall Pkwy
Suite a
East Wenatchee, WA 98802-4496
Phone (509) 884-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00012086WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700081908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 VALLEY MALL PKWY",
            "address_2": "SUITE A",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024496",
            "telephone_number": "509-884-4100",
            "fax_number": "509-884-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 VALLEY MALL PKWY",
            "address_2": "SUITE A",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988024496",
            "telephone_number": "509-884-4100",
            "fax_number": "509-884-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "M",
        "middle_name": "ESTHER",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00012086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.