MARY LOU ZIMMERMANN (NPI# 1063689701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063689701 |
| Entity Type | Individual |
| Full Name | MARY LOU ZIMMERMANN |
| Credential | PA-C |
| Practice Address |
12230 Lioness Way Parker CO 80134 |
| Mailing Address |
12230 Lioness Way Parker CO 80134-5603 |
| Practice Telephone | 3036449355 |
| Mailing Telephone | 3036449355 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
CO1387 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5023 W 120th Ave Ste 312, Broomfield, CO 800205606 | 3036449355 | 3035231654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639337546 | Mary Elizabeth Zimmermann | Clinical Nurse Specialist | 1319 Summit Ave Ste 200, Fort Worth, TX 76102-4432 | 2008-05-28 |
| Street Address |
12230 LIONESS WAY |
| City | PARKER |
| State | CO |
| Zip Code | 80134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720049604 | John D Morrison | Family Medicine | 12230 Lioness Way, Parker, CO 80134 | 2006-03-30 |
| 1679197065 | Broadvistas Psychology LLC | Psychologist | 12230 Lioness Way, Parker, CO 80134-5603 | 2020-06-02 |
| 1518430057 | Suzette Marie Allen | Physical Therapist | 12230 Lioness Way, Parker, CO 80134-5603 | 2019-01-08 |
| 1255803375 | Lauren Dillman | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134-5603 | 2018-12-31 |
| 1588132963 | Alyssa Marie Ensign | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134-5603 | 2018-11-05 |
| 1871079103 | Kathryn Stone | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134 | 2018-07-19 |
| 1679075394 | Gabriele Seffert | Speech-Language Pathologist | 12230 Lioness Way, Parker, CO 80134-5603 | 2018-03-08 |
| 1396251518 | Yekaba K Ayelegne | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134 | 2017-12-26 |
| 1609386440 | Gibril Kelleh Kargbo | Nurse Practitioner | 12230 Lioness Way, Parker, CO 80134 | 2017-10-06 |
| 1629515119 | Amy Shen Soneson | Physician Assistant | 12230 Lioness Way, Parker, CO 80134-5603 | 2017-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528478476 | Carol A Hunter | Physician Assistant | 9235 Crown Crest Blvd Ste 100, Parker, CO 80138-8881 | 2014-04-30 |
| 1861777567 | Angela Cole | Physician Assistant | 19284 Cottonwood Dr Ste 204, Parker, CO 80138-3881 | 2011-10-14 |
| 1164758728 | Andrea Martha Hoff | Physician Assistant | 905 S. Fiesta Avenue, Parker, AZ 85344 | 2009-11-02 |
| 1629199062 | Chrmeg Med Inc | Physician Assistant | 10259 S. Parker Road, Suite 200, Parker, CO 80134 | 2007-04-03 |
| 1477065548 | Anna Miller | Physician Assistant | 19964 Hilltop Rd Ste A, Parker, CO 80134-7316 | 2017-10-30 |
| 1972052868 | Nathan Schulte | Physician Assistant | 10371 Parkglenn Way Ste 100, Parker, CO 80138-3871 | 2016-10-03 |
| 1235589284 | Arianna Groven | Physician Assistant | 10371 Parkglenn Way, Suite 100, Parker, CO 80138-3885 | 2016-06-20 |
| 1568821338 | Staci Ann Page | Physician Assistant | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2016-02-22 |
| 1417385428 | Elizabeth Amney Rowan | Physician Assistant | 9395 Crown Crest Blvd, Parker, CO 80138-8573 | 2013-10-30 |
| 1659632040 | Jaime Lynn Fell | Physician Assistant | 9235 Crown Crest Blvd, 100, Parker, CO 80138-8880 | 2012-06-02 |
| Find all providers in PARKER | ||||
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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.