Active NPI
Sarah Ann Zimmerman, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Florence, OR
National Provider Identifier
1972773547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201708493NP
- Practice address
- 340 9TH St
Florence, OR 97439-9470 - Phone
- (541) 997-6085
- Fax
- (541) 902-9702
- NPI assigned
- Mar 10, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E2034 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11857 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201708493NP | OR | Primary |
Addresses
Primary practice location
340 9TH St
Florence, OR 97439-9470
Mailing address
2285 Benden Dr
Wooster, OH 44691-2568
Phone (330) 264-9029
Other practice location 1
2285 Benden Dr
Wooster, OH 44691-2568
Phone (330) 264-9029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11576416 | Other | OH | CAQH |
Other names 1
- Sarah Ann Zimmerman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2034 | OH | MD | Mental Health Counselor |
| 11857 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
| 201708493NP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1972773547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 BENDEN DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912568",
"telephone_number": "330-264-9029",
"fax_number": "330-263-7251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 9TH ST",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974399470",
"telephone_number": "541-997-6085",
"fax_number": "541-902-9702"
}
],
"practiceLocations": [
{
"address_1": "2285 Benden Dr",
"address_purpose": "LOCATION",
"city": "Wooster",
"state": "OH",
"postal_code": "446912568",
"country_code": "US",
"telephone_number": "330-264-9029",
"fax_number": "330-263-7251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "SARAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E2034",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "11857",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201708493NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11576416",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "ZIMMERMAN",
"middle_name": "ANN",
"credential": "PMHNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Florence, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.