MR. RYAN ZIMMERMAN (NPI# 1255805131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255805131 |
| Entity Type | Individual |
| Full Name | MR. RYAN ZIMMERMAN |
| Credential | LAC |
| Practice Address |
15655 W Roosevelt St Goodyear AZ 85338-9282 |
| Mailing Address |
Po Box 7405 Goodyear AZ 85338-0641 |
| Practice Telephone | 6234515917 |
| Mailing Telephone | 6233372275 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LAC-17247 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225697782 | Ryan Zimmerman | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | 2019-06-10 |
| 1093168379 | Ryan Zimmerman | Pharmacist | 100 Nw 20th Pl, Portland, OR 97209-1029 | 2016-07-21 |
| 1861835241 | Ryan Zimmerman | Internal Medicine | 6th Avenue & Spruce Street, West Reading, PA 19611 | 2013-04-16 |
| 1376856138 | Ryan C Zimmerman | Physician Assistant | 33 Sewall St, Portland, ME 04102-2603 | 2010-07-22 |
| 1467773911 | Ryan Dean Zimmerman | Dentist | 4205 Hobson Ct, Fort Wayne, IN 46815-8648 | 2010-06-18 |
| 1164659645 | Ryan M Zimmerman | Orthopaedic Surgery | 1400 Front Ave, Suite 100, Lutherville, MD 21093-5300 | 2009-06-11 |
| 1760520191 | Ryan Scott Zimmerman | Optometrist | 6901 Rockside Rd, Independence, OH 44131-2348 | 2007-02-01 |
| 1912006313 | Ryan Edward Zimmerman | Physical Therapist | 1050 S North Point Rd, Baltimore, MD 21224-3329 | 2006-09-22 |
| Street Address |
15655 W ROOSEVELT ST |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-9282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922331446 | Alexander J Rinehart | Chiropractor | 15655 W Roosevelt St, Suite 108, Goodyear, AZ 85338-9282 | 2009-09-16 |
| 1386269678 | Anna Marie Vargas Leveriza | Counselor | 15655 W Roosevelt St, Goodyear, AZ 85338-9282 | 2020-06-11 |
| 1629469135 | Karen Mansfield-blair | Psychologist | 15655 W Roosevelt St, Suite 243, Goodyear, AZ 85338-9282 | 2015-02-05 |
| 1528459039 | Dr. Leonard & Associates, LLC | Psychologist | 15655 W Roosevelt St, Ste 243, Goodyear, AZ 85338-9282 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160208 | Aimee Kabamba | Counselor | 926 S 176th Ave, Goodyear, AZ 85338-4613 | 2020-09-25 |
| 1770102964 | Timothy Lamont Coates II | Counselor | 15827 W Monroe St, Goodyear, AZ 85338-6896 | 2020-04-08 |
| 1932732500 | Thomas James Marshall | Counselor | 16109 W Williams St, Goodyear, AZ 85338-3488 | 2020-02-21 |
| 1821563586 | Visions of Hue, LLC | Counselor | 15213 W Jackson St, Goodyear, AZ 85338-2997 | 2018-10-09 |
| 1609271659 | Ross & Mackenzie LLC | Counselor | 319 N Litchfield Rd, Suite 105, Goodyear, AZ 85338-1256 | 2014-11-01 |
| 1306001268 | Samantha White | Counselor | 2333 N Pebble Creek Pkwy, Goodyear, AZ 85395-9046 | 2008-07-21 |
| 1699769737 | Glenda Susan Rivers | Counselor | 14122 W Mcdowell Rd, Suite 103 C, Goodyear, AZ 85338-2503 | 2005-09-05 |
| 1467862839 | Rhonda Katherine Lake | Counselor | 14900 W Van Buren St, Bldg. F, Goodyear, AZ 85338-3002 | 2014-05-06 |
| 1679617823 | Barry N Evans | Counselor | 1616 N Litchfield Rd, 240, Goodyear, AZ 85338-1252 | 2007-02-19 |
| 1841284973 | Lynda L. Durfy | Counselor | 1616 N Litchfield Rd, Goodyear, AZ 85338-1252 | 2005-09-05 |
| Find all providers in GOODYEAR | ||||
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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.