Active NPI
Felicia Zimmer, APRN, PMHCNS-BC
- Adult Psychiatric/Mental Health Registered Nurse
- Philadelphia, PA
National Provider Identifier
1821287392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- CNS000157
- Practice address
- 3900 Woodland Ave
Philadelphia, PA 19104-4551 - Phone
- (267) 761-2412
- NPI assigned
- Oct 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN249894L | PA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | CNS000157 | PA | Primary |
Addresses
Primary practice location
3900 Woodland Ave
Philadelphia, PA 19104-4551
Mailing address
1000 Thornton Rd
Boothwyn, PA 19061-3129
Other practice location 1
1000 Thornton Rd
Boothwyn, PA 19061-3129
Phone (610) 859-8708
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN249894L | PA | MD | Registered Nurse |
| CNS000157 | PA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1821287392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 THORNTON RD",
"city": "BOOTHWYN",
"state": "PA",
"postal_code": "190613129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "267-761-2412"
}
],
"practiceLocations": [
{
"address_1": "1000 Thornton Rd",
"address_purpose": "LOCATION",
"city": "Boothwyn",
"state": "PA",
"postal_code": "190613129",
"country_code": "US",
"telephone_number": "610-859-8708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMER",
"first_name": "FELICIA",
"credential": "APRN, PMHCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-19",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN249894L",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "PA",
"license": "CNS000157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.