KENNETH E ZIMMERMAN PMHNP
NPI 1679395552
Nurse Practitioner - Psychiatric/Mental Health in Eugene, OR

Active since October 30, 2024
66 CLUB RD STE 360, EUGENE, OR 97401(541) 912-1295(541) 972-8779 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kenneth E Zimmerman Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH E ZIMMERMAN PMHNP (NPI 1679395552) is a healthcare organization registered as a psychiatric/mental health in Eugene, Oregon and active in the NPI registry since October 2024. The organization lists Kenneth E Zimmerman, Owner, as its authorized official.

NPPES Registry Identity

NPI1679395552
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKENNETH E ZIMMERMAN PMHNP
Location Address66 CLUB RD STE 360Eugene, OR 97401-2463
Mailing Address66 Club Rd Ste 360Eugene, OR 97401-2463 · (541) 912-1295 · Fax (541) 972-8779
Fax(541) 972-8779
Organization SubpartNo
Authorized OfficialKenneth E ZimmermanOwner · (541) 912-1295
Enumeration DateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1679395552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
66 CLUB RD STE 360, Eugene, OR 97401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
66 CLUB RD STE 360
EUGENE, OR 97401
Registered Nurse (Psychiatric/Mental Health, Adult)
66 CLUB RD STE 360
EUGENE, OR 97401
Nurse Practitioner (Psychiatric/Mental Health)
66 CLUB RD STE 360
EUGENE, OR 97401
Nurse Practitioner (Psychiatric/Mental Health)
66 CLUB RD STE 360
EUGENE, OR 97401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth E Zimmerman Pmhnp's NPI number?

The NPI number for Kenneth E Zimmerman Pmhnp is 1679395552. It was assigned to this organization in the NPPES registry on October 30, 2024.

Where is Kenneth E Zimmerman Pmhnp located?

Kenneth E Zimmerman Pmhnp is located at 66 Club Rd Ste 360, Eugene, OR 97401. The listed phone number is (541) 912-1295.

What is Kenneth E Zimmerman Pmhnp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kenneth E Zimmerman Pmhnp was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.