KATHRYN OLIVIA ZIMMERMAN (NPI# 1659884385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659884385 |
| Entity Type | Individual |
| Full Name | KATHRYN OLIVIA ZIMMERMAN |
| Credential | PA |
| Practice Address |
1717 Oak Park Blvd Fl 3 Lake Charles LA 70601-8990 |
| Mailing Address |
P O Box 122165 Dept 2165 Dallas TX 75312-2165 |
| Practice Telephone | 3374944900 |
| Practice Fax Number | 3374944936 |
| Mailing Telephone | 3374942948 |
| Mailing Fax Number | 3374942928 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 307370 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548318 | Kathryn U Zimmerman | Social Worker | 200 Wood Hill Rd, Rockville, MD 20850-8724 | 2020-08-12 |
| 1467781286 | Kathryn Zimmerman | Nurse Practitioner | 1035 14th Ave N, Nashville, TN 37208-3050 | 2009-12-08 |
| Street Address |
1717 OAK PARK BLVD FL 3 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376524603 | Jeffrey E Balazsy | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2005-11-14 |
| 1538786132 | Morgan Leigh Hay | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2020-06-30 |
| 1033659156 | Amanda Kate Dawson | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2017-03-08 |
| 1790237568 | Cascio Consulting LLC | Non-Pharmacy Dispensing Site | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2016-10-27 |
| 1982065462 | Colin Ross Hidalgo | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2016-03-11 |
| 1760896625 | Collin Bowe | Internal Medicine | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-06-18 |
| 1689088957 | Syed Muhammad Ali Saad | Family Medicine | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-06-16 |
| 1043621089 | Hailey Crawford | Dietitian, Registered | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-05-13 |
| 1790196616 | Tristan Montrale Washington | Family Medicine | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-05-13 |
| 1982023727 | Kipp Cryar | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821506726 | Jessica Danielle Casey | Physician Assistant | 1467 Hickory Ridge Dr, Lake Charles, LA 70611-3747 | 2018-01-14 |
| 1194243220 | Kayla Jeanne Dansby | Physician Assistant | 4345 Nelson Rd Ste 201, Lake Charles, LA 70605-4183 | 2017-09-08 |
| 1588947956 | Savannah Guidry Burnett | Physician Assistant | 3635 Nelson Rd, Lake Charles, LA 70605-1213 | 2011-09-22 |
| 1740577998 | Jeffrey John Daigle | Physician Assistant | 1615 Wolf Cir, Lake Charles, LA 70605-2348 | 2011-07-07 |
| 1487649091 | Staci Simon Boudreaux | Physician Assistant | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2005-09-20 |
| 1255939344 | Alexis Griffin | Physician Assistant | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2020-10-12 |
| 1699323964 | Lindsay Vincent Quebodeaux | Physician Assistant | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2019-08-29 |
| 1912560541 | Haley Cook Cart | Physician Assistant | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-04-18 |
| 1831639897 | Paul Joseph Leger | Physician Assistant | 1701 Oak Park Blvd., Lake Charles, LA 70601 | 2017-02-24 |
| 1568833572 | Valient Emergency Physicians, LLC | Physician Assistant | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2015-10-16 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.