MADOLYNNE ZIMMERMAN (NPI# 1639295389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639295389 |
Entity Type | Individual |
Full Name | MADOLYNNE ZIMMERMAN |
Credential | PNP |
Practice Address |
389 Congress St Rm 307 Portland ME 04101-3509 |
Practice Telephone | 2078748784 |
Mailing Telephone | 2078748784 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R024186 | ME | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | CIGNA | M2048200 | 01 |
ME | AETNA | 3163434 | 01 |
ME | HARVARD PILGRIM | 39359 | 01 |
Street Address |
389 CONGRESS ST RM 307 |
City | PORTLAND |
State | ME |
Zip Code | 04101-3509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609910215 | Kathleen M Martin | Dental Hygienist | 389 Congress St, Portland, ME 04101-3509 | 2007-02-16 |
1467768192 | Clare Mathews Pritchard | Registered Nurse | 389 Congress St, Rm. 307, Portland, ME 04101-3566 | 2010-08-18 |
1457672131 | Danielle Molla Leyonmark | Registered Nurse | 389 Congress St, Room 307, Portland, ME 04101-3566 | 2010-06-17 |
1902130743 | City of Portland Maine, Hhs Phd | Public Health or Welfare | 389 Congress St, Room 307, Portland, ME 04101-3566 | 2009-09-28 |
1609089838 | Constance Hughes | Registered Nurse | 389 Congress St, Room 307, Portland, ME 04101-3509 | 2007-05-07 |
1821201005 | Janet Mordarski | Nurse Practitioner | 389 Congress St, Room 307, Portland, ME 04101-3509 | 2007-05-07 |
1699891903 | Mary Anne Macdormand | Registered Nurse | 389 Congress St, Room 307, Portland, ME 04101-3509 | 2007-03-21 |
1245356518 | Lynn Holaday | Registered Nurse | 389 Congress St, Room 307, Portland, ME 04101-3509 | 2007-03-21 |
1912023292 | Abigail Leavitt | Registered Nurse | 389 Congress St, Room 307, Portland, ME 04101-3509 | 2007-03-21 |
1063537132 | City of Portland Hhs, Phd | Clinic/Center | 389 Congress St, Room 307, Portland, ME 04101-3509 | 2007-03-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
Find all providers in zip 04101 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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1295273399 | Shaudine Woody | Nurse Practitioner | 11790 Sw Barnes Rd Ste 140, Portland, OR 97225-5938 | 2017-02-08 |
1003239120 | Iva Juric | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011 | 2014-01-24 |
1811249592 | Pollee Hruby Brookings | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw7, Portland, OR 97239-3098 | 2012-10-05 |
1033470646 | Chelsea Doherty | Nurse Practitioner | 14480 Sw 90th Ave, Portland, OR 97224 | 2012-05-31 |
1265699508 | Mallory Johnson | Nurse Practitioner | 11790 Sw Barnes Rd. Blg A, Ste 140, Portland, OR 97225 | 2008-05-22 |
1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
1497377220 | Erika Lynn Rodakowski | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-05-14 |
Find all providers in PORTLAND |
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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.