Penelope Pipho Zimmerman, ACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

960068 Issued in NC

Practice address

2321 W Morehead St Ste 102
Charlotte, NC 28208-5145

Phone

(704) 335-0151

NPI assigned

Jun 12, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1780626739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 16TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 W MOREHEAD ST STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085145",
            "telephone_number": "704-335-0151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7845 Little Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282268198",
            "country_code": "US",
            "telephone_number": "704-375-0100",
            "fax_number": "704-335-3592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1930 W Sugar Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28262",
            "country_code": "US",
            "telephone_number": "704-995-1294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "PENELOPE",
        "middle_name": "PIPHO",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "960068",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "960068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84635",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian K Zimmer
• Amber Zimmerlink
• Amanda Zimmerman
• Ann Zimmerman, MS CCC-SLP
• Michael Donald Zimmerman, MD
• Samuel H Zimmern, MD
• Tracy Lynn Zinanni, LCSW, ACSW, DCSW
• Kaitlyn Mary Rose Zingsheim, PA-C
• Sierra R Zinke, DC
• Mackenzie Ann Zinkil, MS, OTR/L

• Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.