ANDREA ELLEN ZIMMERMANN APRN NPI 1891931523

NPI Information

NPI: 1891931523
Provider Name: ANDREA ELLEN ZIMMERMANN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BLUEGRASS PRIMARY HEALTH CARE CENTER, INC.

PECOS Registration: Yes

Address:
1306 VERSAILLES RD
STE 120
LEXINGTON, KY
ZIP 40504
Phone: (859) 259-2635
Get Directions

Andrea Ellen Zimmermann, APRN is a family nurse practitioner in Lexington, KY with 16 years of experience. Andrea Ellen Zimmermann, APRN NPI is 1891931523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

1306 VERSAILLES RD
STE 120
LEXINGTON, KY
ZIP 40504-796
Phone: (859) 259-2635
Fax: (859) 254-7874

The NPI 1891931523 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/30/2008 and was last updated on 4/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3005828	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100131860	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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