Active NPI
Andrew Nathan Zimmerman
- Physical Medicine & Rehabilitation Physician
- Rio Rancho, NM
National Provider Identifier
1992388953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2666
- Practice address
- 1537 33Rd Cir SE
Rio Rancho, NM 87124-1975 - Phone
- (505) 331-6966
- NPI assigned
- Apr 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2666 | MN | Primary |
Addresses
Primary practice location
1537 33Rd Cir SE
Rio Rancho, NM 87124-1975
Mailing address
1537 33Rd Cir SE
Rio Rancho, NM 87124-1975
Phone (505) 331-6966
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | zip87121@msn.com | Direct | |
| CONNECT URL | zip87121@msn.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2666 | MN | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1992388953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 33RD CIR SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241975",
"telephone_number": "505-331-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 33RD CIR SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241975",
"telephone_number": "505-331-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "ANDREW",
"middle_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MN",
"license": "2666",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "zip87121@msn.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "1537 33rd Cir SE",
"city": "Rio Rancho",
"state": "NM",
"country_code": "US",
"postal_code": "871241975",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "zip87121@msn.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1537 33rd Cir SE",
"city": "Rio Rancho",
"state": "NM",
"country_code": "US",
"postal_code": "871241975",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.