Individual provider Active NPI

Rachael Amanda Zipper, MMS PA-C

  • Physician Assistant
  • Davie, FL
National Provider Identifier
1922777937
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3301 College Ave
Davie, FL 33314-7721
Phone
(800) 541-6682
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3301 College Ave
Davie, FL 33314-7721

Mailing address

2172 NE 61St CT
Fort Lauderdale, FL 33308-2134
Phone (978) 590-0305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220608003324 FL Practitioner - Physician Assistant 6406234103 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Apr 1, 2022 Accepting new patients
South Broward Hospital District CurrentSince Apr 1, 2022 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

1150 N 35th Ave
Ste 520
Hollywood, FL 33021
Phone (954) 265-2423

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

1951 SW 172nd Ave
Ste 415
Miramar, FL 33029
Phone (954) 265-2423

Organizations & group practices 3

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1922777937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 NE 61ST CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082134",
            "telephone_number": "978-590-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 COLLEGE AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147721",
            "telephone_number": "800-541-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIPPER",
        "first_name": "RACHAEL",
        "middle_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "MMS PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.