Active NPI
Gustava Townsend Zimmer, CNM
- Advanced Practice Midwife
- Ocala, FL
National Provider Identifier
1912325333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN9379656
- Practice address
- 1307 S Pine Ave
Ocala, FL 34471-6543 - Phone
- (352) 368-2238
- Fax
- (352) 368-5042
- NPI assigned
- Apr 2, 2014
- Last updated
- Jan 19, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN9379656 | FL | |
| Advanced Practice Midwife | 367A00000X | 0024173107 | VA | |
| Advanced Practice Midwife | 367A00000X | APRN9379656 | FL | Primary |
Addresses
Primary practice location
1307 S Pine Ave
Ocala, FL 34471-6543
Mailing address
1307 S Pine Ave
Ocala, FL 34471-6543
Phone (352) 368-2238
Other names 1
- Gustava Townsend Rostan-Wrzoszimmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160317001258 | VA | Practitioner - Certified Nurse Midwife (CNM) | 8022335652 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9379656 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munroe Hma HMPN LLC | Advanced Practice Midwife | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1307 S Pine Ave
Ocala, FL 34471
Phone (352) 368-2238
Organizations & group practices 2
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Lady Lake, FL
- NPI 1669899324
Advanced Practice Midwife
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1912325333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 S PINE AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716543",
"telephone_number": "352-368-2238",
"fax_number": "352-368-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 S PINE AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344716543",
"telephone_number": "352-368-2238",
"fax_number": "352-368-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "GUSTAVA",
"middle_name": "TOWNSEND",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-02",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9379656",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "VA",
"license": "0024173107",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN9379656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GUSTAVA",
"last_name": "ROSTAN-WRZOSZIMMER",
"middle_name": "TOWNSEND",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.