Individual provider Active NPI

Gustava Townsend Zimmer, CNM

  • Advanced Practice Midwife
  • Ocala, FL
National Provider Identifier
1912325333
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN9379656 Issued in FL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160317001258 VA Practitioner - Certified Nurse Midwife (CNM) 8022335652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN9379656FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Munroe Hma HMPN LLC Advanced Practice Midwife CurrentSince Aug 9, 2021 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.

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

Verify at the official NPI Registry.