Andrea Ellen Zimmermann, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3005828 Issued in KY

Practice address

1306 Versailles Rd
Ste 120
Lexington, KY 40504-1796

Phone

(859) 259-2635

Fax

(859) 254-7874

NPI assigned

Dec 30, 2008

Last updated

Apr 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1972569820
  NPD (past)

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1891931523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD",
            "address_2": "STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041796",
            "telephone_number": "859-259-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD",
            "address_2": "STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041796",
            "telephone_number": "859-259-2635",
            "fax_number": "859-254-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "ANDREA",
        "middle_name": "ELLEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100131860",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Ziems, DO
• Kelli Lynn Zik, MS, RD, LD
• Bayli Zimmerman, DO
• Matthew J. Zimmerman, MD
• Taylor Reed Zimmerman
• Charles J Zimmermann, DPM
• Elizabeth J Zink, M.S.CCC-SLP
• Ralph G. Zinner, M.D.
• Angela Zipf, PMHNP-BC
• Tisha Ziskind, PMHNP-BC

• Family Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.