MS. JENNIFER LEE ZIMMERMAN (NPI# 1417042870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417042870 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LEE ZIMMERMAN |
| Credential | P.A.-C |
| Practice Address |
1441 Florida Ave. Modesto CA 95352 |
| Mailing Address |
1441 Florida Ave Modesto CA 95350-4404 |
| Practice Telephone | 2095781211 |
| Mailing Telephone | 2095763601 |
| Mailing Fax Number | 2095763680 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10924 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP PTAN-GREATER MODESTO MEDICAL SURGICAL ASSOCIATES | CD069A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803673 | Jennifer Lynn Zimmerman | Clinical Nurse Specialist | 55 Hosier St, Selbyville, DE 19975-9300 | 2019-04-22 |
| 1326417759 | Jennifer Lynn Zimmerman | Nurse Practitioner | 308 Terrace Ave, Harding, PA 18643-7153 | 2015-09-16 |
| 1588800411 | Jennifer Lynn Zimmerman | Specialist | 1901 Richard Arrington Jr Blvd S, Suite Z., Birmingham, AL 35209-1270 | 2008-12-24 |
| 1134195613 | Jennifer Mijares Zimmerman | Pediatrics | 4435 U.S.90, Pace, FL 32571-1368 | 2006-02-24 |
| 1265057772 | Jennifer Zimmerman | Dietitian, Registered | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2020-06-10 |
| 1104389881 | Jennifer Pittman Zimmerman | Licensed Practical Nurse | 320 N 5th St, Beatrice, NE 68310-2957 | 2019-04-10 |
| 1861963019 | Jennifer Ann Zimmerman | Specialist/Technologist | 2800 University Blvd N, Jacksonville, FL 32211-3394 | 2018-12-16 |
| 1811449077 | Jennifer Ann Zimmerman | Social Worker | 2423 Camino Del Rio S, Suite 103, San Diego, CA 92108-3702 | 2016-11-03 |
| 1477997062 | Jennifer A Zimmerman | Internal Medicine | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2013-04-25 |
| 1063795235 | Jennifer Lynn Zimmerman | Pharmacist | 5830 N Clinton St, Fort Wayne, IN 46825-5734 | 2011-09-23 |
| Street Address |
1441 FLORIDA AVE. |
| City | MODESTO |
| State | CA |
| Zip Code | 95352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568453801 | Larry Charles Hicks | Physician Assistant | 1441 Florida, Modesto, CA 95352 | 2005-11-04 |
| 1154542421 | Eunice Elizabeth Gaskell | Registered Nurse | 1441 Florida Ave, Doctors Medical Center, Modesto, CA 95352 | 2007-05-02 |
| 1114949922 | Edward W Verde | Anesthesiology | 1441 Florida Avenue, Cardiovascular Anesthesiology, Modesto, CA 95352 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273401 | St Pauls Modesto Lp | Alzheimer Center (Dementia Center) | 2325 St Pauls Way, Modesto, CA 95355-3309 | 2020-10-22 |
| 1700485562 | Vision Faire Optometry, Inc. A Professional Optometric Corporation | Eyewear Supplier (Equipment, not the service) | 4213 Dale Rd Ste A-2, Modesto, CA 95356-8505 | 2020-10-22 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1699373209 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 | 2020-10-15 |
| 1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
| 1134727746 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1689271173 | Frank W Bowerman | Licensed Vocational Nurse | 2629 Mill Oak Dr, Modesto, CA 95355-9453 | 2020-10-07 |
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| Find all providers in MODESTO | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497895775 | Donald Scott Paulsen | Physician Assistant | 3204 Wycliffe Dr, Modesto, CA 95355-4738 | 2007-02-07 |
| 1568453801 | Larry Charles Hicks | Physician Assistant | 1441 Florida, Modesto, CA 95352 | 2005-11-04 |
| 1942290416 | Jaimie C Cossey | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2005-10-26 |
| 1770117541 | Sydney Edwards | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4418 | 2020-03-02 |
| 1184084980 | Karen Michelle Barbe | Physician Assistant | 1329 Spanos Ct, Suite B4, Modesto, CA 95355-2806 | 2016-03-07 |
| 1992000343 | Stephan Robert Morey | Physician Assistant | 1421 Oakdale Rd, Modesto, CA 95355-3356 | 2011-01-17 |
| 1033240833 | Stacy Garrison | Physician Assistant | 4601 Dale Rd, Modesto, CA 95356-9718 | 2007-03-07 |
| 1710044888 | David Dean Nisley | Physician Assistant | 1441 Florida Ave, Neurosurgery Pa, Modesto, CA 95350-4405 | 2007-01-02 |
| 1356406904 | David Howard Fisher | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4405 | 2006-12-26 |
| 1871605576 | Naoki Miyakawa | Physician Assistant | 1335 Coffee Rd Ste 100, Modesto, CA 95355-3192 | 2006-08-31 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.