Connie Alison Zimmerman, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P013450 Issued in SD

Practice address

380 W Anchor Dr
Dakota Dunes, SD 57049-5273

Phone

(605) 232-2970

Fax

(612) 725-1097

NPI assigned

Jan 15, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Connie Alison Lord Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1790596278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 W ANCHOR DR",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495273",
            "telephone_number": "605-232-2970",
            "fax_number": "612-725-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W ANCHOR DR",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495273",
            "telephone_number": "605-232-2970",
            "fax_number": "612-725-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "CONNIE",
        "middle_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SD",
            "license": "P013450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "LORD",
            "middle_name": "ALISON",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John A Wolpert, M.D.
• Michael L. Wolpert, M.D.
• Paul W. Wolpert, M.D.
• Andrea Elizabeth Wood, MSPT
• Angela Carole Woodall
• Robert G Zimmerman, M.D.

• Licensed Practical Nurse in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Licensed Practical Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.