Individual provider Active NPI

Kimberly Zimmerman, DNP, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1902146020
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3007784 Issued in KY
Practice address
730 Fairview Ave Ste A5
Bowling Green, KY 42101-2383
Phone
(270) 935-5117
Fax
(270) 935-5118
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007784 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3007784 KY Primary

Addresses

Primary practice location

730 Fairview Ave Ste A5
Bowling Green, KY 42101-2383

Mailing address

PO Box 50754
Bowling Green, KY 42102-3954
Phone (270) 935-5117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140204001021 KY Practitioner - Nurse Practitioner 4082843529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

730 Fairview Ave
Suite A5
Bowling Green, KY 42101-2383
Phone (270) 935-5117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007784KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Care Affiliates, Inc. CurrentSince Dec 23, 2013 Accepting new patients
Zipclinic, PSC CurrentSince Dec 30, 2018 Accepting new patients
Oak Haven Psychiatry, LLC Psychiatric/Mental Health CurrentSince Jan 1, 2022 Accepting new patients

Locations

651 US 31W Byp
Bowling Green, KY 42101
Phone (270) 495-0440

2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330

730 Fairview Ave
Ste A5
Bowling Green, KY 42101
Phone (270) 935-5117

215 E Main St
Providence, KY 42450
Phone (270) 667-7017

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1902146020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50754",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421023954",
            "telephone_number": "270-935-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 FAIRVIEW AVE STE A5",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012383",
            "telephone_number": "270-935-5117",
            "fax_number": "270-935-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007784",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3007784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.